Justin Woodhouse, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

35084837 Issued in OH

Practice address

5915 Landerbrook Dr
Suite 120
Mayfield Heights, OH 44124-4039

Phone

(216) 382-3806

Fax

(216) 382-6735

NPI assigned

Oct 16, 2006

Last updated

Jun 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Electronic endpoints 3

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

Specialty

Dermatology

Education

University of Iowa, RJ & L Carver College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allied Dermatology and Skin Surgery, LLCGroup PAC ID 1456679646, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.6 of 100Reported as group

Quality

84.98

Promoting interoperability

100

Improvement activities

40

Cost

70.36

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jw@alliedderm.emadirect.md

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

• Allied Dermatology and Skin Surgery, LLC

  • Dermatology Physician
  • Fairlawn, OH
  • NPI 1932592698
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1225128556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 W MARKET ST STE 101",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334510",
            "telephone_number": "330-665-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 LANDERBROOK DR",
            "address_2": "SUITE 120",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244039",
            "telephone_number": "216-382-3806",
            "fax_number": "216-382-6735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9485 Mentor Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440608722",
            "country_code": "US",
            "telephone_number": "440-266-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3624 W Market St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443334510",
            "country_code": "US",
            "telephone_number": "330-665-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODHOUSE",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "35084837",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35084837",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP LEGACY",
            "identifier": "9186059",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP LEGACY",
            "identifier": "9186053",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2583119",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1154487932",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP LEGACY",
            "identifier": "9186052",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jw@alliedderm.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Allied Dermatology and Skin Surgery, LLC",
            "address_1": "5915 Landerbrook Dr",
            "address_2": "Suite 120",
            "city": "Mayfield Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441244039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jw@alliedderm.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Allied Dermatology and Skin Surgery, LLC",
            "address_1": "9485 Mentor Ave Ste 102",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440608722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jw@alliedderm.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Allied Dermatology and Skin Surgery, LLC",
            "address_1": "3624 W Market St Ste 101",
            "city": "Fairlawn",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443334510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brieanne Wiltshire, CNP
• Caroline Y Winslow, M.D.
• Emily Christina Wirtz
• Ashley Wojnarski, FNP-BC
• Hannah Marie Wong, PTA
• Allison Wright-Frazier
• Shan Shan Wu, DO
• Laura Ann Wyrock, ACCNS-AG
• Peter Yang, MD
• Latifah Lurie Yarbrough, LPN

• MOHS-Micrographic Surgery Physician in Mayfield Heights, OH
• Providers in Mayfield Heights, OH by specialty
• MOHS-Micrographic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.