Dermatology Allergy General Physicians of Ohio Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35043565M Issued in OH

Legal business name

DERMATOLOGY ALLERGY GENERAL PHYSICIANS OF OHIO INC

Practice address

5212 Brandt Pike
Suite a
Huber Heights, OH 45424-6138

Phone

(937) 233-0748

Fax

(937) 233-6086

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Lynn McFarland

Title

Corporation Secretary

Phone

(937) 233-0748

Specialties & licenses 3

Addresses

Other identifiers 7

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1447451661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 BRANDT PIKE",
            "address_2": "SUITE A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454246138",
            "telephone_number": "937-233-0748",
            "fax_number": "937-233-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 BRANDT PIKE",
            "address_2": "SUITE A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454246138",
            "telephone_number": "937-233-0748",
            "fax_number": "937-233-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ALLERGY GENERAL PHYSICIANS OF OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CORPORATION SECRETARY",
        "authorized_official_telephone_number": "937-233-0748",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35043565M",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35058434M",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "OH",
            "license": "34003765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMO PIN",
            "identifier": "368588672011",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000011389",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000011437",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000269197",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "9190162",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL PIN",
            "identifier": "394601220014",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMO PIN",
            "identifier": "485805933016",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayton Dental Group Huber Heights LLC (Dayton Dental Group)
• Dayton Osteopathic Hospital (Kettering Health Pharmacy Huber)
• Dayton Regional Dialysis Inc
• Deep Purpose Group LLC
• Jannell Lasonya Demmons
• Suevenia S Dewberry
• Digestive Endoscopy Center LLC (Digestive Endoscopy Center)
• Digestive Specialists Inc
• Divine Comfort and Counseling LLC
• Divine Help Home Health Care

• Dermatology Physician in Huber Heights, OH
• Providers in Huber Heights, 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 5, 2009; 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.