Western Reserve Dermatology, Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WESTERN RESERVE DERMATOLOGY, INC

Practice address

24100 Chagrin Blvd Ste 400
Beachwood, OH 44122-5545

Phone

(216) 378-1880

Fax

(216) 378-9130

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Faith M. Durden, M.D.NPI 1972522027

Title

Medical Doctor

Phone

(216) 378-1880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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

• Faith M. Durden, M.D.

  • Dermatology Physician
  • Beachwood, OH
  • NPI 1972522027
  Medicare reassignment NPD Authorized official
• Olga Demidova, DO

  • MOHS-Micrographic Surgery Physician
  • Tampa, FL
  • NPI 1174915987

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1689693756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24100 CHAGRIN BLVD STE 400",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225545",
            "telephone_number": "216-378-1880",
            "fax_number": "216-378-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 CHAGRIN BLVD STE 400",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225545",
            "telephone_number": "216-378-1880",
            "fax_number": "216-378-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE DERMATOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "DURDEN",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "216-378-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Michelle Wendling, MA PC
• Lauryn Weppelman
• Angela M Wesley, PT
• Loretta Michelle West, PT
• Maureen Lorraine West, MSW
• Western Reserve Ophthalmology Inc
• Western Reserve Periodontics, Inc
• Western Reserve Vision Care, Inc.
• Khannah Keziah Wetmore, LISW-S
• Diane L Wetzig, PHD

• Dermatology Physician in Beachwood, OH
• Providers in Beachwood, 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 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.