University Dermatologists Inc

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

Organization subpart

No

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

Addresses

Other identifiers 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Lynn Berardinelli, NP-C

  • Adult Health Nurse Practitioner
  • Mentor, OH
  • NPI 1003079922
  NPD (past)
• Christina C Cernik, M.D.

  • Dermatology Physician
  • Mayfield HTS, OH
  • NPI 1558523605
  NPD (past)
• Angela Funovits, M.D.

  • Dermatology Physician
  • Fairlawn, OH
  • NPI 1982044830
  NPD (past)
• Lauren Krug Guren, MD

  • Dermatology Physician
  • Mayfield HTS, OH
  • NPI 1710276563
  NPD (past)
• Robert S. Haber, M.D.

  • Dermatology Physician
  • Beachwood, OH
  • NPI 1346233160
  NPD (past)
• James F Libecco, MD

  • Dermatology Physician
  • Fairlawn, OH
  • NPI 1215991393
  NPD (past)
• Kimberly Tamargo, MD

  • Dermatology Physician
  • Fairlawn, OH
  • NPI 1003336140
  NPD (past)
• Kathleen M. Ting, MD

  • MOHS-Micrographic Surgery Physician
  • Walnut Creek, CA
  • NPI 1407934599
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CB7427",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Turoczi, M.D.
• Melanie D. Tyler, M.D.
• Umatter Counseling LLC
• Unified Quality Care LLC
• Unity Home Health Services LLC
• University Hospitals Medical Group
• University Hospitals Medical Group
• University Hospitals Medical Group, Inc
• University Hospitals Medical Group, Inc.
• University Hospitals Medical Group, Inc.

• Dermatology Physician in South Euclid, OH
• Providers in South Euclid, OH by specialty
• Dermatology Physician in Ohio

• 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.