Organization Active NPI

Kenwood Dermatology

  • Dermatology Physician
  • Cincinnati, OH
National Provider Identifier
1699228239
Registry record updated Oct 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.097237 Issued in OH
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

Updated by the provider on Oct 20, 2018

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 35.097237 OH Primary
Pediatric Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.