Cosmopolitan Dermatology, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

COSMOPOLITAN DERMATOLOGY, INC.

Practice address

3461 Warrensville Center Rd Ste 100
Shaker Heights, OH 44122-5227

Phone

(216) 417-3250

Fax

(216) 417-3251

NPI assigned

Feb 17, 2015

Organization subpart

No

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

Authorized official

Name

Angela O Kyei, M.D.NPI 1053593566

Title

Owner

Phone

(216) 417-3250

Specialties & licenses 1

Addresses

Other identifiers 1

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 21

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

• Angela O Kyei, M.D.

  • Dermatology Physician
  • Shaker Heights, OH
  • NPI 1053593566
  Medicare reassignment NPD Authorized official
• Elizabeth Ann Davis Walker, N.P.

  • Family Nurse Practitioner
  • Cleveland Heights, OH
  • NPI 1508978206
  Medicare reassignment NPD
• Rachael Arielle Ruffin, RN

  • Gerontology Nurse Practitioner
  • Cleveland, OH
  • NPI 1205696887
  Medicare reassignment NPD
• Nicole Marie Williamson, FNP-C

  • Family Nurse Practitioner
  • Cleveland, OH
  • NPI 1164966222
  Medicare reassignment NPD
• Karla Lundy, NP

  • Family Nurse Practitioner
  • Rock Hill, SC
  • NPI 1487298279

  OH

  Medicare reassignment NPD
• Christina S Gast I, NP

  • Family Nurse Practitioner
  • Cleveland, OH
  • NPI 1942891825
  NPD
• Chelsea Haynes

  • Physician Assistant
  • Cleveland, OH
  • NPI 1073230645
  NPD
• Maneesh Mehra, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1417136805
  NPD
• Taylor Nix

  • Family Nurse Practitioner
  • Cleveland, OH
  • NPI 1396217030
  NPD
• Logan Sherman

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1770270159
  NPD
• Amber Marie Grinnell

  • Family Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1083089783
  NPD
• Sabina Hossain, ANP-BC

  • Adult Health Nurse Practitioner
  • New York, NY
  • NPI 1154757052
  NPD

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1376934935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442860188",
            "telephone_number": "216-417-3250",
            "fax_number": "216-417-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLE CENTER RD STE 100",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225227",
            "telephone_number": "216-417-3250",
            "fax_number": "216-417-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOPOLITAN DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "KYEI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-417-3250",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118772",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tori Cordiano, PH.D.
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• Courtney Corrigan
• Chloe Corrion
• Brenna Coulter
• Nancy E Craft, ATC
• Lyshae Cross, REGISTERED NURSE
• Reginald Cross, BA
• Duane D. Culler, LISW, CGC

• Dermatology Physician in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.