New Horizon Dermatology, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35-07-30985 Issued in OH

Legal business name

NEW HORIZON DERMATOLOGY, INC

Practice address

6693 N Chestnut St Ste 125a
Ravenna, OH 44266-3900

Phone

(330) 296-2879

Fax

(330) 296-4656

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michelle A Jahnke, M.D.NPI 1689646721

Title

Owner

Phone

(330) 296-2879

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Alyce Jahnke, MD

  • Dermatology Physician
  • Ravenna, OH
  • NPI 1689646721
  Medicare reassignment Care Compare group NPD Authorized official
• Amber Dawn Blair, MD

  • Family Medicine Physician
  • Ravenna, OH
  • NPI 1710935077
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1285780031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6693 N CHESTNUT ST STE 125A",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663900",
            "telephone_number": "330-296-2879",
            "fax_number": "330-296-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6693 N CHESTNUT ST STE 125A",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663900",
            "telephone_number": "330-296-2879",
            "fax_number": "330-296-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZON DERMATOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "JAHNKE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-296-2879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-07-30985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "292581828002",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000352318",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Marie Neal, RN
• Jacob Neikirk, RN
• Armani Nelson
• Richard L Nelson, MD
• Neurology and Neuroscience Associates, Inc.
• Taylor Michelle Nicholson
• Nicoles Loving Care LLC
• Sierra Sade Niles, RN
• Kevin CHI Nkeze Shu
• Melissa Enid Noel, CNP

• Specialist in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.