Mason Dermatology Center Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35.05572 Issued in OH

Legal business name

MASON DERMATOLOGY CENTER INC

Practice address

4834 Socialville Foster Rd
Suite 20
Mason, OH 45040-6827

Phone

(519) 459-1988

Fax

(513) 459-1845

NPI assigned

Feb 14, 2011

Last updated

Feb 14, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Juian Juian Jan Fu, M D PH D FAAD

Title

Owner/ Doctor

Phone

(513) 459-1988

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1144527060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 SOCIALVILLE FOSTER RD",
            "address_2": "SUITE 20",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406827",
            "telephone_number": "519-459-1988",
            "fax_number": "513-459-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 SOCIALVILLE FOSTER RD",
            "address_2": "SUITE 20",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406827",
            "telephone_number": "519-459-1988",
            "fax_number": "513-459-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON DERMATOLOGY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "FU",
        "authorized_official_first_name": "JUIAN JUIAN",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "513-459-1988",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M D PH D FAAD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.05572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Care Group LLC
• Mason Chiropractic and Rehabilitation Center LLC
• Mason City School District
• Mason Dental Care; Daniel S. Hillis, D.M.D., LLC (Mason Dental Care, LLC)
• Mason Dental Center, Matthew a Corcoran, DDS
• Mason Elite Dentistry
• Mason Eye Center, Inc.
• Mason Family Medicine & Associates LLC
• Mason Group Health, LLC
• Mason Healthcare LLC (Mason Health Care Center)

• Dermatology Physician in Mason, OH
• Providers in Mason, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.