Organization Active NPI

University Dermatologists Inc

  • Dermatology Physician
  • South Euclid, OH
National Provider Identifier
1154487932
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
UNIVERSITY DERMATOLOGISTS INC
Practice address
1611 S Green Rd
Suite 146
South Euclid, OH 44121-4128
Phone
(909) 335-8638
NPI assigned
Dec 28, 2006
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
William Lynch, MD
Title
Owner
Phone
(909) 335-8638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1611 S Green Rd
Suite 146
South Euclid, OH 44121-4128

Mailing address

PO Box 74153
Cleveland, OH 44194-4153

National Provider Directory

National Provider Directory

Locations

50 E Washington St
Chagrin Falls, OH 44022
Phone (216) 635-0002

2074 Abington Rd Ste 3516
Cleveland, OH 44106

4853 Galaxy Pkwy
Ste K
Cleveland, OH 44128

7255 Old Oak Blvd
Ste 209
Cleveland, OH 44130
Phone (440) 816-2777

5 Severance Cir
Ste 410
Cleveland Heights, OH 44118
Phone (216) 382-8244

3600 W Market St
Ste 1
Fairlawn, OH 44333
Phone (330) 665-0555

5850 Landerbrook Dr
Ste 304
Mayfield Hts, OH 44124
Phone (440) 442-1200

9485 Mentor Ave
Ste 102
Mentor, OH 44060
Phone (440) 205-8492

6820 Ridge Rd
Parma, OH 44129
Phone (440) 842-1570

6820 Ridge Rd
#201
Parma, OH 44129
Phone (440) 845-1146

1611 S Green Rd
Ste 56
South Euclid, OH 44121
Phone (216) 595-3598

2001 Crocker Rd
Ste 100
Westlake, OH 44145
Phone (440) 471-4200

950 Clague Rd
Westlake, OH 44145
Phone (440) 250-2020

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1154487932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74153",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441944153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD",
            "address_2": "SUITE 146",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214128",
            "telephone_number": "909-335-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DERMATOLOGISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-335-8638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.