Dermatology Associates of Mansfield, Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35074869W Issued in OH

Legal business name

DERMATOLOGY ASSOCIATES OF MANSFIELD, INC

Practice address

480 Glessner Ave
Mansfield, OH 44903-2056

Phone

(419) 526-2600

Fax

(419) 526-2032

NPI assigned

Oct 19, 2007

Last updated

Feb 28, 2013By 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

Timothy C. Wood, M.D.NPI 1205814712

Title

President

Phone

(419) 526-2600

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Timothy Clifton Wood, MD

  • Dermatology Physician
  • Mansfield, OH
  • NPI 1205814712
  Authorized official Same address or phone

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1669661138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 GLESSNER AVENUE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44903",
            "telephone_number": "419-526-2600",
            "fax_number": "419-526-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032056",
            "telephone_number": "419-526-2600",
            "fax_number": "419-526-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF MANSFIELD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-526-2600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35074869W",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "42777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Dennison, CRNA
• Peyton Dennison, CNP, RN
• Michelle A Denny
• Dorothy Mary Denton, M.T.
• Robert A Denton, M.D.
• Mary C Derr, RN
• Heaven-Leigh Dery
• Kishor K Desai, M.D.
• Vasanti K Desai, MD
• Deseret Nursing and Rehabilitation at Mansfield

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.