Individual provider Active NPI

Eugene Conte, DO

  • Dermatology Physician
  • Centerville, OH
National Provider Identifier
1316056567
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34003451 Issued in OH
Practice address
8940 Kingsridge Dr
Ste 104
Centerville, OH 45458-1632
Phone
(937) 436-1433
Fax
(937) 439-7443
NPI assigned
Aug 30, 2006
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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 34003451 OH Primary
Dermatology Physician 207N00000X 1889 AZ

Addresses

Primary practice location

8940 Kingsridge Dr
Ste 104
Centerville, OH 45458-1632

Mailing address

151 Southhall LN
Ste 300
Maitland, FL 32751-7176
Phone (407) 875-2080

Other identifiers 1

IdentifierTypeStateIssuer
0523482MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050118000061 OH Practitioner - Dermatology 5890744890 Reassigns benefits to 1 organization
I20161117002151 MS Practitioner - Dermatology 5890744890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Michigan State University College of Osteopathic Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B Roy DO PAGroup PAC ID 2365767118, 10 clinicians

Practice addresses (Care Compare)

102 E Hospital Dr
Hattiesburg, MS 39402-1310
Phone (601) 475-9968

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
81.89
Promoting interoperability
100
Improvement activities
40
Cost
71.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions65
Removal or shaving of skin growth1-10
Skin biopsy125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1889AZMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
David B Roy DO PA CurrentSince Aug 13, 2016 Accepting new patients
Skin Firm, LLC Dermatology CurrentSince Jun 5, 2023 Accepting new patients

Locations

1244 Highway 29 N
Ellisville, MS 39437
Phone (601) 261-5771

102 E Hospital Dr
Hattiesburg, MS 39402
Phone (601) 268-5144

201 S Main St
Petal, MS 39465
Phone (601) 336-5626

1005 E Temple St
Wshngtn Ct Hs, OH 43160
Phone (740) 208-2550

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1316056567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN",
            "address_2": "STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517176",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 KINGSRIDGE DR",
            "address_2": "STE 104",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581632",
            "telephone_number": "937-436-1433",
            "fax_number": "937-439-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTE",
        "first_name": "EUGENE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34003451",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "1889",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0523482",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.