Ohioderm Holding Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

OHIODERM HOLDING INC.

Doing business as

OhioDERM Holding Inc.
OhioDerm Bellefontaine LLC
OhioDerm London LLC1 more in Other names

Practice address

5775 Perimeter Dr Ste 200
Dublin, OH 43017-3224

Phone

(614) 845-0418

Fax

(614) 389-3841

NPI assigned

Feb 13, 2024

Last updated

Sep 18, 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

Dr. Michael Patrick Conroy, MDNPI 1003891052

Title

Founder

Phone

(614) 943-0355

Specialties & licenses 1

Addresses

Other names 4

• OhioDERM Holding Inc. Doing business as
• OhioDerm Bellefontaine LLC Doing business as
• OhioDerm London LLC Doing business as
• OhioDerm Wapakoneta LLC Doing business as

Electronic endpoints 4

Locations

Interoperability endpoints

• Direct secure messaging: mconroy@ohioderm.emadirect.md

Practitioners 6

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.

• Michael Patrick Conroy, MD

  • Dermatology Physician
  • Dublin, OH
  • NPI 1003891052
  NPD Authorized official
• Nancy Ann Rozzo, APRN CNP

  • Family Nurse Practitioner
  • Dublin, OH
  • NPI 1225776644
  NPD
• Kathleen Weldy, FNP-C

  • Nurse Practitioner
  • London, OH
  • NPI 1902592801
  NPD
• Haley E Zwiebel

  • Family Nurse Practitioner
  • Wapakoneta, OH
  • NPI 1285304824
  NPD
• Michelle Marie Grider, PA-C

  • Physician Assistant
  • Bellefontaine, OH
  • NPI 1134996077
  NPD (past)
• Lauren Bates Thomas, PA-C

  • Physician Assistant
  • Dublin, OH
  • NPI 1396384434
  NPD (past)

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1265297899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 PERIMETER DR STE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173224",
            "telephone_number": "614-845-0418",
            "fax_number": "614-389-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 PERIMETER DR STE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173224",
            "telephone_number": "614-845-0418",
            "fax_number": "614-389-3841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Timber Trl",
            "address_purpose": "LOCATION",
            "city": "Bellefontaine",
            "state": "OH",
            "postal_code": "433119039",
            "country_code": "US",
            "telephone_number": "937-595-0100",
            "fax_number": "937-518-7770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 Redskin Trl Ste D",
            "address_purpose": "LOCATION",
            "city": "Wapakoneta",
            "state": "OH",
            "postal_code": "458958545",
            "country_code": "US",
            "telephone_number": "419-549-5607",
            "fax_number": "419-754-2523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54 W High St Ste C",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "OH",
            "postal_code": "431401093",
            "country_code": "US",
            "telephone_number": "740-837-4334",
            "fax_number": "740-422-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OHIODERM HOLDING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "614-943-0355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mconroy@ohioderm.emadirect.md",
            "affiliation": "N",
            "address_1": "2200 Timber Trl",
            "city": "Bellefontaine",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433119039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mconroy@ohioderm.emadirect.md",
            "affiliation": "N",
            "address_1": "54 W High St Ste C",
            "city": "London",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431401093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mconroy@ohioderm.emadirect.md",
            "affiliation": "N",
            "address_1": "812 Redskin Trl Ste D",
            "city": "Wapakoneta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458958545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpconroy@ohioderm.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5775 Perimeter Dr Ste 200",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430173224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OhioDERM Holding Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OhioDerm Bellefontaine LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OhioDerm London LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OhioDerm Wapakoneta LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OhioDerm Wapakoneta LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ohiohealth Urgent Care LLC

• Dermatology Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.