Catherine a Vlastaris Underman MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CATHERINE A VLASTARIS UNDERMAN MD INC

Practice address

20455 Lorain Rd
Suite 304
Fairview Park, OH 44126-3531

Phone

(440) 333-6444

Fax

(440) 333-6445

NPI assigned

Sep 17, 2006

Last updated

Aug 2, 2011By 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

Catherine A Vlastaris Underman, MD

Title

Owner

Phone

(440) 333-6444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1518064245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450856",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441450619",
            "telephone_number": "440-808-3700",
            "fax_number": "440-808-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD",
            "address_2": "SUITE 304",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263531",
            "telephone_number": "440-333-6444",
            "fax_number": "440-333-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE A VLASTARIS UNDERMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "VLASTARIS UNDERMAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-333-6444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRCARE",
            "identifier": "DA3608",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.