Cleveland Dermatology Group LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CLEVELAND DERMATOLOGY GROUP LLC

Practice address

2001 Crocker Rd Ste 500
Westlake, OH 44145-6967

Phone

(440) 617-1522

Fax

(440) 617-1523

NPI assigned

Mar 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Eric Baud, M. D.NPI 1265431654

Title

President

Phone

(216) 702-2687

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.

• Eric Bret Baud, M.D.

  • Dermatology Physician
  • Cleveland Heights, OH
  • NPI 1265431654
  Medicare reassignment Care Compare group NPD Authorized official
• Cecelia Lynn Hamilton, M.D.

  • Dermatology Physician
  • Cleveland Heights, OH
  • NPI 1780683763
  Medicare reassignment Care Compare group NPD
• Gina Josette Kuehn, MD

  • Dermatology Physician
  • Cleveland, OH
  • NPI 1285167700
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1407249071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CROCKER RD STE 500",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456967",
            "telephone_number": "440-617-1522",
            "fax_number": "440-617-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CROCKER RD STE 500",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456967",
            "telephone_number": "440-617-1522",
            "fax_number": "440-617-1523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29001 Cedar Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Lyndhurst",
            "state": "OH",
            "postal_code": "441244041",
            "country_code": "US",
            "telephone_number": "440-565-7773",
            "fax_number": "440-459-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEVELAND DERMATOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "BAUD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-702-2687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamika Clemis Zackery, HOME HEALTH AIDE
• Cleveland Behavioral Health Solutions LLC
• Cleveland Chiropractic Associates, Inc.
• Cleveland Clinic Children'S Hospital for Rehabilitation
• Cleveland Clinic Foundation
• Cleveland Feeding and Swallowing Center LLC
• Cleveland Therapy Group
• Cleveland West Vascular Care, LLC
• Clough Consultants and Speech Therapy, Inc.
• Amy Marie Dillon Cody, MSW, LISW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.