The Dermatology Group, Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

THE DERMATOLOGY GROUP, INC

Practice address

5298 Socialville Foster Rd
Mason, OH 45040-9302

Phone

(513) 770-4212

Fax

(513) 770-4213

NPI assigned

Jul 9, 2006

Last updated

Dec 9, 2015By 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

Dr. Samir B. Patel, MDNPI 1073552261

Title

Owner

Phone

(513) 770-4212

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Advanced Dermatology and Dermatopathology, Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH, IN, KY3 enrollments

Enrollment records 3

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5662/brand/1/csg/1/fhir/r4

Practitioners 32

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.

• Samir B Patel, MD

  • Dermatology Physician
  • Mason, OH
  • NPI 1073552261

  KY

  Medicare reassignment Care Compare group NPD Authorized official
• Samantha N Barry, MD

  • Dermatology Physician
  • Blue Ash, OH
  • NPI 1275982746
  Medicare reassignment Care Compare group NPD
• Ashley A. Carrasquillo, NP

  • Adult Health Nurse Practitioner
  • West Chester, OH
  • NPI 1245581719
  Medicare reassignment Care Compare group NPD
• Katie McMenamin, NP

  • Family Nurse Practitioner
  • Springboro, OH
  • NPI 1437568664
  Medicare reassignment Care Compare group NPD
• Veronica Anne Russo, MD

  • Dermatology Physician
  • Cincinnati, OH
  • NPI 1720344575
  Medicare reassignment Care Compare group NPD
• Stephanie Blackburn Sayles, D.O.

  • Dermatology Physician
  • Mason, OH
  • NPI 1730522434

  KY

  Medicare reassignment Care Compare group NPD
• Lakeysha Smith, NP

  • Gerontology Nurse Practitioner
  • West Chester, OH
  • NPI 1326742065
  Medicare reassignment Care Compare group NPD
• Seth L Stephenson

  • Nurse Practitioner
  • Mason, OH
  • NPI 1164778924

  KY

  Medicare reassignment Care Compare group NPD
• Elizabeth E. Uhlenhake, MD

  • Dermatology Physician
  • Mason, OH
  • NPI 1215168745
  Medicare reassignment Care Compare group NPD
• Areej Arif Usmani, MD

  • Dermatology Physician
  • Mason, OH
  • NPI 1033748801
  Medicare reassignment Care Compare group NPD
• Jennifer Christine Woodard, FNP

  • Family Nurse Practitioner
  • West Chester, OH
  • NPI 1356595532
  Medicare reassignment Care Compare group NPD
• Kristine Busse Zitelli, M.D.

  • Dermatology Physician
  • Cincinnati, OH
  • NPI 1275824641
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1780617860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5298 SOCIALVILLE FOSTER RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409302",
            "telephone_number": "513-770-4212",
            "fax_number": "513-770-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5298 SOCIALVILLE FOSTER RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409302",
            "telephone_number": "513-770-4212",
            "fax_number": "513-770-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DERMATOLOGY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-770-4212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA7892",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2559100",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dermatology and Dermatopathology, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• The Christ Hospital
• The Craig & Frances Lindner Center of Hope - Hope Center North (HOPE Center North)
• The Craig and Frances Lindner Center of Hope (Lindner Center of HOPE)
• The Craig and Frances Lindner Center of Hope
• The Craig and Frances Lindner Center of Hope
• The Little Clinic of Ohio LLC
• The Wellness Circle, Inc.
• Jennifer Thieman, M.D.
• Thinking Therapeutics LLC
• Victoria K Thomas-Bandman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.