Central Ohio Skin & Cancer Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CENTRAL OHIO SKIN & CANCER INC

Practice address

3380 Tremont Rd
Upper Arlington, OH 43221

Phone

(614) 823-5584

Fax

(614) 457-2924

NPI assigned

Aug 4, 2006

Last updated

Aug 22, 2020By 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

Jess J Demaria, MDNPI 1154373009

Title

Vice President

Phone

(614) 898-7546

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Central Ohio Skin & Cancer Inc

  • Dermatology Physician
  • Sunbury, OH
  • NPI 1083622930

  O20050927000501

  Same enrollment
• Central Ohio Skin & Cancer Inc

  • Dermatology Physician
  • Powell, OH
  • NPI 1376551226

  O20050927000501

  Same enrollment
• Central Ohio Skin & Cancer Inc

  • Dermatology Physician
  • Circleville, OH
  • NPI 1467460311

  O20050927000501

  Same enrollment
• Central Ohio Skin & Cancer Inc

  • Dermatology Physician
  • Westerville, OH
  • NPI 1922016864

  O20050927000501

  Same enrollment

Locations

Practitioners 2

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.

• Jess J Demaria, MD

  • Dermatology Physician
  • Westerville, OH
  • NPI 1154373009
  NPD Authorized official
• Amy Lyn Gosnell, M.D.

  • Dermatology Physician
  • Westerville, OH
  • NPI 1326283698
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174531024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 COOPER RD",
            "address_2": "STE 400",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "43081",
            "telephone_number": "614-898-7546",
            "fax_number": "614-794-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 TREMONT RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "43221",
            "telephone_number": "614-823-5584",
            "fax_number": "614-457-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO SKIN & CANCER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMARIA",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "614-898-7546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2321839",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN6982",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria L Carroll, LMT
• Makayla Cattledge, LMT
• Maria A Cegledy, DPT
• Central Ohio Senior Care Inc (Home Instead Senior Care)
• Central Ohio Senior Care, Inc. (Home Instead Senior Care)
• Ibrahima Cherif
• Brenda Cheung
• Grant Cicci, DPT
• City of Upper Arlington (Upper Arlington Fire Division)
• Robert Douglas Clark, P.T.

• Dermatology Physician in Upper Arlington, OH
• Providers in Upper Arlington, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.