Organization Active NPI

Associates in Dermatology, Inc.

  • Dermatology Physician
  • Westlake, OH
National Provider Identifier
1396852133
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ASSOCIATES IN DERMATOLOGY, INC.
Practice address
2205 Crocker Rd Ste 109
Westlake, OH 44145-6710
Phone
(440) 482-8323
Fax
(440) 808-1718
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Brandie Styron, M.D.NPI 1841459724
Title
Physician/Partner
Phone
(440) 482-8323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Dermatopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0900X

Addresses

Primary practice location

2205 Crocker Rd Ste 109
Westlake, OH 44145-6710

Mailing address

2205 Crocker Rd Ste 109
Westlake, OH 44145-6710
Phone (440) 482-8323

Other practice location 1

18660 Bagley Rd
Building 1, Suite 501
Middleburg Heights, OH 44130
Phone (440) 482-8424

Other practice location 2

6100 S Broadway Ste 101
Lorain, OH 44053-3872
Phone (440) 482-8363

Other identifiers 7

IdentifierTypeStateIssuer
2253654MedicaidOH
0785995MedicaidOH
0400551MedicaidOH
2350370MedicaidOH
0204540MedicaidOH
0356092MedicaidOH
0466339MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060109000134 OH Part B Supplier - Clinic/Group Practice 2668495409 Receives reassigned benefits from 12 practitioners
Practice locations: Lorain, OH; Middleburg Heights, OH; Westlake, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0334306Associates in Dermatology, Inc6100 South Broadway, Suite 101, Lorain, OH 44053Certificate of waiverOct 29, 2027
36D0338437Associates in Dermatology Inc18660 Bagley Rd Suite 501 Building One, Middleburg Heights, OH 44130ComplianceMar 14, 2028
36D1039033Associates in Dermatology Inc2205 Crocker Rd, Suite 109, Westlake, OH 44145ComplianceMay 29, 2028

National Provider Directory

National Provider Directory

Locations

18660 Bagley Rd
#204
Cleveland, OH 44130
Phone (440) 234-3104

18660 Bagley Rd
Ste 501I
Cleveland, OH 44130

14701 Detroit Ave
Ste 3
Lakewood, OH 44107

14701 Detroit Ave
Ste 305
Lakewood, OH 44107
Phone (216) 228-3900

6100 S Broadway
Ste 101
Lorain, OH 44053
Phone (440) 282-9114

18660 Bagley Rd
Ste 501
Middleburg Heights, OH 44130
Phone (440) 482-8323

18660 Bagley Rd
Ste 204
Middleburg Heights, OH 44130
Phone (440) 234-3104

18660 Bagley Rd
Ste 501A
Middleburg Heights, OH 44130

26908 Detroit Rd
Ste 103
Westlake, OH 44145
Phone (440) 249-0274

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1396852133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 CROCKER RD STE 109",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456710",
            "telephone_number": "440-482-8323",
            "fax_number": "440-808-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 CROCKER RD STE 109",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456710",
            "telephone_number": "440-482-8323",
            "fax_number": "440-808-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18660 Bagley Rd",
            "address_2": "Building 1, Suite 501",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "44130",
            "country_code": "US",
            "telephone_number": "440-482-8424",
            "fax_number": "440-808-1718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6100 S Broadway Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440533872",
            "country_code": "US",
            "telephone_number": "440-482-8363",
            "fax_number": "440-808-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATES IN DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "STYRON",
        "authorized_official_first_name": "BRANDIE",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "440-482-8323",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2253654",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0785995",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400551",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2350370",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204540",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356092",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0466339",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.