Downtown Dermatology LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

35086908 Issued in OH

Legal business name

DOWNTOWN DERMATOLOGY LLC

Practice address

500 E Main St
Suite 310
Columbus, OH 43215-4741

Phone

(614) 224-4566

Fax

(614) 224-6046

NPI assigned

Jan 4, 2008

Last updated

Nov 10, 2009By 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

Shari Hicks-Graham, M.D.NPI 1467531236

Title

Owner

Phone

(614) 224-4566

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shari Hicks-Graham, M.D.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1467531236
  Medicare reassignment Care Compare group Authorized official
• Amy Marie Lipp, PA-C

  • Physician Assistant
  • Columbus, OH
  • NPI 1942684816
  Medicare reassignment Care Compare group
• Jana Nicole Shaffer, PA-C

  • Physician Assistant
  • Columbus, OH
  • NPI 1083885206
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1598940942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST",
            "address_2": "SUITE 310",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155369",
            "telephone_number": "614-224-4566",
            "fax_number": "614-224-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST",
            "address_2": "SUITE 310",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154741",
            "telephone_number": "614-224-4566",
            "fax_number": "614-224-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "HICKS-GRAHAM",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-224-4566",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35086908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2778703",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyasia C Downs, LISW
• Lisa A. Downs, APRN-CRNA
• Makinsey Downs
• Resa Downs
• Troy Downs
• Downtown Gynecologists (Founder's Women's Health Center)
• Amanda Dowrey
• Doxa Health Services LLC
• Doxa Health, LLC
• Doxa Home Healthcare Services, LLC

• Specialist in Columbus, OH
• Providers in Columbus, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.