Andrea Elizabeth Latorre, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35.098254 Issued in OH

Practice address

430 Altair Pkwy
Ste 210
Westerville, OH 43082-7647

Phone

(614) 898-7546

Fax

(614) 794-4294

NPI assigned

Jun 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Indiana University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Ohio Skin and Cancer IncGroup PAC ID 4688608870, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

52.5 of 100Reported as individual

Quality

55

Improvement activities

20

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Ohio Skin & Cancer Inc

  • Dermatology Physician
  • Westerville, OH
  • NPI 1922016864
  Medicare reassignment Care Compare group NPD
• Central Ohio Skin & Cancer Inc

  • Dermatology Physician
  • Sunbury, OH
  • NPI 1083622930
  NPD

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1528220100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 ALTAIR PKWY",
            "address_2": "STE 210",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827647",
            "telephone_number": "614-898-7546",
            "fax_number": "614-794-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 ALTAIR PKWY",
            "address_2": "STE 210",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827647",
            "telephone_number": "614-898-7546",
            "fax_number": "614-794-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATORRE",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.098254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Larenas, LISW
• Sara E Largmann, LISW-S
• Barbara Laroque, M.D.
• Caitlin Larsen, ED.S.
• Sarah Elizabeth Laskey, LSW
• Ashley Marie Laudermilch
• Steven James Laudon, LPCC
• Laura V Skaates DC Inc
• Christopher Lautt, APRN, PMHNP-BC
• Nellimaria Lavalle, LISW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.