Dennis A Vidmar, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD070019L Issued in PA

Practice address

10701 East Boulevard, Department of Dermatology
Vamc Wade Park
Cleveland, OH 44106-2832

Phone

(216) 791-3800

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1407856529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 EAST BOULEVARD DEPARTMENT OF DERMATOLOGY",
            "address_2": "VAMC WADE PARK, CLEVELAND OHIO",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-791-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 EAST BOULEVARD, DEPARTMENT OF DERMATOLOGY",
            "address_2": "VAMC WADE PARK",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062832",
            "telephone_number": "216-791-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDMAR",
        "first_name": "DENNIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "PA",
            "license": "MD070019L",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD070019L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Emily Vidalis, RN
• Lindsey Emily Videc, RN
• Gregory M Videtic, MD
• Allison T Vidimos, MD
• Michael Vidmar-McEwen, MPAS
• Leslie Z Vidmar, CNP
• Sara Vidovic, MD
• Nela A Vidovich, M.D.
• Nicholas Paul Viglucci, O.D.
• Sarah Coleman Vij, M.D.

• Dermatology Physician in Cleveland, OH
• Providers in Cleveland, 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 6, 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.