Tri County Dermatology Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TRI COUNTY DERMATOLOGY INC

Practice address

401 Devon Place
Suite 250
Kent, OH 44240

Phone

(330) 929-9009

Fax

(330) 929-6264

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Schield Martin Wikas, D.O.

Title

President

Phone

(330) 492-2327

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1376733162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 MUNSON ST NW STE C",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182978",
            "telephone_number": "330-492-2327",
            "fax_number": "330-492-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DEVON PLACE",
            "address_2": "SUITE 250",
            "city": "KENT",
            "state": "OH",
            "postal_code": "44240",
            "telephone_number": "330-929-9009",
            "fax_number": "330-929-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "WIKAS",
        "authorized_official_first_name": "SCHIELD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-492-2327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Trautman, RN
• Diane Traxler
• Aleya Marie Treadwell
• Shiann Makayla Trego
• Kami A Treharn
• Asjae'a M Troutman
• Theresa A Tschannen Isabella, PHD
• Jacqueline Tindira Tucek
• Raya Tucker
• Tudor Care

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.