Signature Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SIGNATURE DERMATOLOGY LLC

Practice address

3853 Trueman Court
Hilliard, OH 43026

Phone

(614) 777-1200

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Costanza, D.O.NPI 1033243175

Title

Director

Phone

(614) 777-1200

Specialties & licenses 1

Addresses

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 10

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

• Andrea M Costanza, D.O.

  • Dermatology Physician
  • Hilliard, OH
  • NPI 1033243175
  Medicare reassignment Care Compare group NPD Authorized official
• James Robert Duncan, MD

  • Dermatology Physician
  • Powell, OH
  • NPI 1922460500
  Medicare reassignment Care Compare group NPD
• Jessica Vicent Hoy, DO

  • Dermatology Physician
  • Lancaster, OH
  • NPI 1528405586
  Medicare reassignment Care Compare group NPD
• Rosemary Jane Oaks, DO

  • Dermatology Physician
  • Hilliard, OH
  • NPI 1104403609
  Medicare reassignment Care Compare group NPD
• Katie Xiaoyi Wang, D.O.

  • Dermatology Physician
  • Hilliard, OH
  • NPI 1477948305
  Medicare reassignment Care Compare group NPD
• Marya L Cassandra, DO

  • Dermatology Physician
  • Hilliard, OH
  • NPI 1912979386
  Medicare reassignment Care Compare group
• Arica M Edwards

  • Physician Assistant
  • Springfield, OH
  • NPI 1831564400
  Medicare reassignment Care Compare group
• Megan Marie Peck

  • Physician Assistant
  • Columbus, OH
  • NPI 1639340458
  Medicare reassignment Care Compare group
• Alina G Bridges, D.O.

  • Dermatology Physician
  • Rochester, MN
  • NPI 1427035682

  OH

  Medicare reassignment NPD
• David R Giammar, M.D.

  • Colon & Rectal Surgery Physician
  • Hilliard, OH
  • NPI 1154307858
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1679723894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 TRUEMAN COURT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "43026",
            "telephone_number": "614-777-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3853 TRUEMAN COURT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "43026",
            "telephone_number": "614-777-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "COSTANZA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-777-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sommer Michelle Shutek, CNP
• Kelsey Sicker, MD
• Damien Christopher Sickles, DC
• Siddhi R Patel DDS Inc (Park Dental)
• Lora Sierschula
• Michelle Simonelli, APRN-CNP, CPNP-PC
• Terence L Sims, MSW, LSW, CDCA
• Lillian Sindelar
• David Meade Singer
• Parduman Singh, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.