Dermatology and Cosmetic Surgery of Dublin, Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

34005944 Issued in OH

Legal business name

DERMATOLOGY AND COSMETIC SURGERY OF DUBLIN, INC

Practice address

6905 Hospital Drive Road
Suite 230
Dublin, OH 43016

Phone

(614) 761-7705

Fax

(614) 734-9570

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mary Beth Luca, D.O.

Title

President

Phone

(614) 761-7705

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

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

• Mary Beth Luca, DO

  • Dermatology Physician
  • Dublin, OH
  • NPI 1891805339
  Medicare reassignment Care Compare group NPD
• April Getchell, PA-C

  • Physician Assistant
  • Centerville Finance, OH
  • NPI 1679683106
  Medicare reassignment Care Compare group
• Tabitha Sue Melvin, PA-C

  • Medical Physician Assistant
  • Washington Court House, OH
  • NPI 1376513564
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1366504656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 HOSPITAL DRIVE ROAD",
            "address_2": "SUITE 230",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43016",
            "telephone_number": "614-761-7705",
            "fax_number": "614-734-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 HOSPITAL DRIVE ROAD",
            "address_2": "SUITE 230",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43016",
            "telephone_number": "614-761-7705",
            "fax_number": "614-734-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND COSMETIC SURGERY OF DUBLIN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "LUCA",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-761-7705",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34005944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Dent
• Patricia Depamphilis
• Alysha Depaso
• Lydia Marie Deppert, PA-C
• Brenda Derbin
• Zeelane Desai, O.D.
• Krishna B Deshpande, MD
• Antoine E Desmond
• Naomi Detample
• Christina M Detwiler, PHARM.D.

• 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 Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.