Dermatology Associates of Ohio, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35060161 Issued in OH

Legal business name

DERMATOLOGY ASSOCIATES OF OHIO, LLC

Practice address

8100 N Main St
Dayton, OH 45415-1702

Phone

(937) 974-5247

NPI assigned

Dec 15, 2006

Last updated

Feb 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha Hickmann, MD

Title

Owner

Phone

(937) 974-5247

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Arden Boettler, M.D.

  • Internal Medicine Physician
  • Dayton, OH
  • NPI 1124052212
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1386706125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 OLD SPANISH TRL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454591453",
            "telephone_number": "937-974-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151702",
            "telephone_number": "937-974-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "HICKMANN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-974-5247",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35060161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Anne Deremo, PSYD
• Bethany Joel Derhodes, M.D.
• Byron K Derksen, LPN
• James A. Derksen, MD
• Dermatologists of Southwestern Ohio, LLC. (Dermatologists of Southwest Ohio, LLC)
• Dermatopathology Laboratory of Central States
• Kathleen Sarah Derr, PA-C
• Kelyea S Derricks-Linder, CPT
• Shkurte Dervisholli, FNP-C
• Alpa Desai, MD

• Dermatology Physician in Dayton, OH
• Providers in Dayton, 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 10, 2025; 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.