Tri County Dermatology Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TRI COUNTY DERMATOLOGY INC

Practice address

6847 North Chestnut Street
Ravenna, OH 44266

Phone

(330) 929-9009

Fax

(330) 929-6264

NPI assigned

Jul 24, 2007

Last updated

Oct 24, 2007By 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

Dr. Schield M Wikas, D.O.

Title

President/Physician

Phone

(330) 929-9009

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1427258870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 GRAHAM RD",
            "address_2": "SUITE C",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211344",
            "telephone_number": "330-929-9009",
            "fax_number": "330-929-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 NORTH CHESTNUT STREET",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "44266",
            "telephone_number": "330-929-9009",
            "fax_number": "330-929-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "WIKAS",
        "authorized_official_first_name": "SCHIELD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "330-929-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Inc (Ravenna Dialysis)
• Sara Madeline Toth
• Brenda Barnes Tousley, MS
• Celeste Trammel, QMHS
• Tri County Dermatology Inc
• Triangle Pharmacy Inc.
• Christopher Trimmer
• Melissa Trimmer
• Larry Alan Trombka, DDS
• Jason Troyer, BA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.