Active NPI
Kenwood Dermatology
- Dermatology Physician
- Cincinnati, OH
National Provider Identifier
1699228239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35.097237
- Legal business name
- KENWOOD DERMATOLOGY
- Practice address
- 8250 Kenwood Crossing Way
Suite 101
Cincinnati, OH 45236-3668 - Phone
- (513) 745-5510
- NPI assigned
- Aug 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kara Shah, MD
- Title
- President
- Phone
- (513) 745-5510
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35.097237 | OH | Primary |
| Pediatric Dermatology Physician | 207NP0225X | 35.097237 | OH |
Addresses
Primary practice location
8250 Kenwood Crossing Way
Suite 101
Cincinnati, OH 45236-3668
Mailing address
8250 Kenwood Crossing Way Ste 101
Cincinnati, OH 45236-3669
Phone (513) 745-5510
National Provider Directory
National Provider DirectoryLocations
8250 Kenwood Crossing Way
Ste 101
Cincinnati, OH 45236
Phone 51322155003450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539993600000",
"number": "1699228239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8250 KENWOOD CROSSING WAY STE 101",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452363669",
"telephone_number": "513-745-5510",
"fax_number": "513-745-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8250 KENWOOD CROSSING WAY",
"address_2": "SUITE 101",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452363668",
"telephone_number": "513-745-5510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENWOOD DERMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-01",
"last_updated": "2018-10-20",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "KARA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-745-5510",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "OH",
"license": "35.097237",
"primary": true
},
{
"code": "207NP0225X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Pediatric Dermatology",
"state": "OH",
"license": "35.097237",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.