Midwest Dermatology, Laser & Vein Clinic

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

MIDWEST DERMATOLOGY, LASER & VEIN CLINIC

Practice address

3006 N Co Road 25-a
Troy, OH 45373-1373

Phone

(937) 335-2075

Fax

(937) 339-0612

NPI assigned

Mar 5, 2007

Last updated

Apr 9, 2024By 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

Angie Gleason

Title

Billing Manager

Phone

(937) 875-2745

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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.

• Michelle M Choucair, M. D.

  • Dermatology Physician
  • Troy, OH
  • NPI 1356395719
  Medicare reassignment Care Compare group NPD
• Chelsea McLeland, CRNP

  • Family Nurse Practitioner
  • Independence, OH
  • NPI 1881163996
  Medicare reassignment Care Compare group NPD
• Katherine Fenlon Morrison, FNP-C

  • Nurse Practitioner
  • Columbus, OH
  • NPI 1104654607
  Medicare reassignment Care Compare group NPD
• Georges S Yacoub, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Troy, OH
  • NPI 1487659041
  Medicare reassignment Care Compare group NPD
• Michelle Joann Bailey, FNP-C

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1841940673
  Medicare reassignment NPD
• Wesley Morgan Hannebaum McComas, FNP

  • Nurse Practitioner
  • Springfield, OH
  • NPI 1952888422
  Medicare reassignment NPD
• Rachel Nicole Witt, APRN

  • Family Nurse Practitioner
  • Athens, OH
  • NPI 1295343358
  Medicare reassignment NPD
• Jawana Lynn Watson

  • Family Nurse Practitioner
  • Englewood, OH
  • NPI 1508495821
  NPD

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1174652325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 N CO ROAD 25-A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731373",
            "telephone_number": "937-335-2075",
            "fax_number": "937-339-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 N CO ROAD 25-A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731373",
            "telephone_number": "937-335-2075",
            "fax_number": "937-339-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DERMATOLOGY, LASER & VEIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "937-875-2745"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami Family Physicians Inc
• Miami Regional Eye Care, Inc.
• Michael Cebulka DDS, LLC (Comprehensive Dentistry of Troy)
• Michael J Pope DC Inc
• Michelle R. Achor DPM LLC
• Midwest Medical Services, Inc.
• Mary Beth Mihalick, AU. D.
• Cathy Miller, MA CCC SLP
• Christopher Miller, PT, DPT CSCS
• Lori Miller

• Dermatopathology Physician in Troy, OH
• Providers in Troy, OH by specialty
• Dermatopathology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.