Dermatology Associates of Northern Kentucky PSC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY PSC

Practice address

7766 Ewing Blvd
Ste 100
Florence, KY 41042-7538

Phone

(859) 283-1033

Fax

(859) 283-1066

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James A Zalla, M.D.NPI 1609995091

Title

President

Phone

(859) 283-1033

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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 11

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

• James A Zalla, M.D.

  • Dermatology Physician
  • Florence, KY
  • NPI 1609995091
  Medicare reassignment Care Compare group NPD Authorized official
• Susan J Bushelman, M.D.

  • Dermatology Physician
  • Florence, KY
  • NPI 1073632733
  Medicare reassignment Care Compare group NPD
• Clayton Douglas Conner, MD

  • Dermatology Physician
  • Florence, KY
  • NPI 1063948438
  Medicare reassignment Care Compare group NPD
• John Deis

  • Dermatology Physician
  • Florence, KY
  • NPI 1932632775
  Medicare reassignment Care Compare group NPD
• Molly G Eisner, M.D.

  • Dermatology Physician
  • Florence, KY
  • NPI 1366561029
  Medicare reassignment Care Compare group NPD
• Marie Nicole Sartori, APRN

  • Nurse Practitioner
  • Florence, KY
  • NPI 1427560697
  Medicare reassignment Care Compare group NPD
• Kathryn A West-Pfingston, APRN

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1093173627
  Medicare reassignment Care Compare group NPD
• Mark J Zalla, M.D.

  • Dermatology Physician
  • Florence, KY
  • NPI 1356460018
  Medicare reassignment Care Compare group NPD
• Elliott Harrison Campbell, MD

  • MOHS-Micrographic Surgery Physician
  • Rochester, MN
  • NPI 1265994412

  KY

  Medicare reassignment Care Compare group NPD
• Mae Dinn

  • Physician Assistant
  • Florence, KY
  • NPI 1902227366
  Medicare reassignment Care Compare group
• Kristin Dietz Kennedy, ARNP

  • Nurse Practitioner
  • Florence, KY
  • NPI 1518137843
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1629197397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7766 EWING BLVD",
            "address_2": "STE 100",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410427538",
            "telephone_number": "859-283-1033",
            "fax_number": "859-283-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 EWING BLVD",
            "address_2": "STE 100",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410427538",
            "telephone_number": "859-283-1033",
            "fax_number": "859-283-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "ZALLA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-283-1033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "18D0324336",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Center of Florence Kentucky
• Dental Health Professionals of Kentucky, P.S.C.
• Dental Services of Kentucky, PSC
• Dental Sleep Medicine of Northern Kentucky, PLLC
• Dental Sleep Therapy of Greater Cincinnati PSC
• Barbara Jean Derosa, ARNP
• Bella Grace Derrough
• Pamela Dickerson, LCSW
• Didio Chiropractic Center
• Brittany M Diehl, RD

• Dermatopathology Physician in Florence, KY
• Providers in Florence, KY by specialty
• Dermatopathology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.