NPIMap

Organization Active NPI

HMT Dermatology Associates Inc

  • Dermatology Physician
  • Medina, OH
National Provider Identifier
1457326514
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
HMT DERMATOLOGY ASSOCIATES INC
Practice address
5783 Wooster Pike
Medina, OH 44256
Phone
(330) 725-0569
Fax
(330) 662-0258
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Dr. Helen M Torok, MDNPI 1235198698
Title
Owner/Medical Director
Phone
(330) 725-0569

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 4

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
Pediatric Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NP0225X

Addresses

Primary practice location

5783 Wooster Pike
Medina, OH 44256

Mailing address

5783 Wooster Pike
Medina, OH 44256
Phone (330) 725-0569

Other practice location 1

128 E Milltown Rd Ste 208
Wooster, OH 44691-1276
Phone (330) 725-0569

Other practice location 2

5779 Wooster Pike
Medina, OH 44256-8816
Phone (330) 721-9990

Other practice location 3

300 Weatherstone Dr Ste 106
Wadsworth, OH 44281-7833
Phone (330) 725-0569

Other practice location 4

2865 Center Rd Ste 5
Brunswick, OH 44212-2324
Phone (330) 725-0569

Other identifiers 1

IdentifierTypeStateIssuer
0061331MedicaidOH

Other names 1

  • Trillium Creek Dermatology Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040120000472 OH Part B Supplier - Clinic/Group Practice 6709787989 Receives reassigned benefits from 24 practitioners
Practice locations: Brunswick, OH; Medina, OH; Strongsville, OH; Wadsworth, OH; Wooster, 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
36D1056763HMT Dermatology Associates Inc5783 Wooster Pike, Medina, OH 44256Provider-performed microscopyJan 25, 2027
36D2045115HMT Dermatology Associates Inc128 East Milltown Road Suite 208, Wooster, OH 44691Provider-performed microscopyAug 6, 2026
36D2161647HMT Dermatology Associates, Inc300 Weatherstone Drive, Wadsworth, OH 44281Provider-performed microscopyFeb 6, 2027
36D2187914HMT Dermatology Associates, Inc2865 Center Road, Brunswick, OH 44212Provider-performed microscopyJul 8, 2028

National Provider Directory

National Provider Directory

Locations

2865 Center Rd
Brunswick, OH 44212

5779 Wooster Pike
Medina, OH 44256
Phone (330) 721-9990

17982 Royalton Rd
Strongsville, OH 44136
Phone (330) 725-0569

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1457326514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5783 WOOSTER PIKE",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5783 WOOSTER PIKE",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 E Milltown Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446911276",
            "country_code": "US",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5779 Wooster Pike",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442568816",
            "country_code": "US",
            "telephone_number": "330-721-9990",
            "fax_number": "330-662-0258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Weatherstone Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Wadsworth",
            "state": "OH",
            "postal_code": "442817833",
            "country_code": "US",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2865 Center Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442122324",
            "country_code": "US",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HMT DERMATOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "TOROK",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "330-725-0569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061331",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trillium Creek Dermatology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Trillium Creek Dermatology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.