Individual provider Active NPI

Cynthia Lavery Henry, D.O.

  • Dermatology Physician
  • Avon, OH
National Provider Identifier
1225027337
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34.008695 Issued in OH
Practice address
36855 American Way
Avon, OH 44011-4054
Phone
(440) 696-7546
Fax
(440) 268-4406
NPI assigned
Oct 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34008695 OH
Dermatology Physician 207N00000X 34.008695 OH Primary

Addresses

Primary practice location

36855 American Way
Avon, OH 44011-4054

Mailing address

2000 Auburn Dr.
Ste.350
Beachwood, OH 44122-4327
Phone (440) 646-1600

Other identifiers 1

IdentifierTypeStateIssuer
2625243MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060106000075 OH Practitioner - Dermatology 4082647037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Dermatology and Skin Surgery Center, LLCGroup PAC ID 1052589777, 52 clinicians

Practice addresses (Care Compare)

36855 American Way
Avon, OH 44011-4054
Phone (440) 696-7546

7580 Auburn Rd
Suite 301
Painesville, OH 44077-9618
Phone (440) 352-7546

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
78.38
Promoting interoperability
92
Improvement activities
40
Cost
79.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of skin lesions1572
Removal or shaving of skin growth621
Skin biopsy14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.008695OHMDDermatology Physician
34008695OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SVC Dermatology PC Dermatology PastSince May 1, 2006 Accepting new patients
SCH Professional Corporation Past Accepting new patients
Gary R Kutsikovich MD and Associates Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chenry37342@ehrdirect.uhhospitals.org
  • Direct secure messaging: chenry@apexskin.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1225027337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR.",
            "address_2": "STE.350",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224327",
            "telephone_number": "440-646-1600",
            "fax_number": "440-646-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36855 AMERICAN WAY",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114054",
            "telephone_number": "440-696-7546",
            "fax_number": "440-268-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CYNTHIA",
        "middle_name": "LAVERY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34008695",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.008695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2625243",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.