Dermatology and Skin Surgery Center LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35047090 Issued in OH

Legal business name

DERMATOLOGY AND SKIN SURGERY CENTER LLC

Doing business as

Larry J Little MD

Practice address

240 A Market Street
New Albany, OH 43054

Phone

(614) 855-5702

Fax

(614) 855-3227

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Larry John Little, MD

Title

Owner

Phone

(641) 855-5702

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Larry J Little MD Doing business as

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780759415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 A MARKET STREET",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "43054",
            "telephone_number": "614-855-5702",
            "fax_number": "614-855-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 A MARKET STREET",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "43054",
            "telephone_number": "614-855-5702",
            "fax_number": "614-855-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND SKIN SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-855-5702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35047090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476435",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larry J Little MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Santina Daley, PTA
• Allison Dave, CSFA
• Kara Deal, PTA
• Ante-Tonci Dejanovic, DDS
• Rachael Del Cecato, APRN
• Maggie Dewan, AU.D.
• Vyishali Dharbhamalla
• Idabelle Diaz-Garcia, PA-C
• Sarah Dick, PA
• Danielle Kayla Difranco, PT

• Dermatology Physician in New Albany, OH
• Providers in New Albany, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.