Igor Lomazoff, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD421026 Issued in PA

Practice address

501 Office Center Dr
Suite 195
Ft Washington, PA 19034-3220

Phone

(215) 836-7900

Fax

(215) 836-7923

NPI assigned

Jun 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Dermatology of Pennsylvania, PC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1740671767
  NPD (past)
• Andrew K Pollack

  • Dermatology Physician
  • Fort Washington, PA
  • NPI 1760555924
  NPD (past)
• Deirdre Wood MD PC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1740383348
  NPD (past)
• Institute for Dermatopathology, Inc.

  • Clinical Medical Laboratory
  • Flourtown, PA
  • NPI 1093595829
  NPD (past)
• Pennsylvania Dermatology Partners Inc

  • Dermatology Physician
  • West Lawn, PA
  • NPI 1023382918
  NPD (past)

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195948800000",
    "number": "1790789733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 OFFICE CENTER DR",
            "address_2": "SUITE 195",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190343220",
            "telephone_number": "215-836-7900",
            "fax_number": "215-836-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 OFFICE CENTER DR",
            "address_2": "SUITE 195",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190343220",
            "telephone_number": "215-836-7900",
            "fax_number": "215-836-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAZOFF",
        "first_name": "IGOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2007-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD421026",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "PA",
            "license": "MD421026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HP EAST",
            "identifier": "2213217000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01972602",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3310054",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Jinn Liu, M.D.
• Janice Lloyd, RN
• Lockman-Lubell Pediatric Associates, LLC
• Bruce Evan Lockman, M.D.
• Dorothy S Lohmann, PA
• Maud Shela Louis, LPN
• Love Health DPC, PLLC
• Andrew Lubell, MD
• Rebecca Lubin
• Jenny Lugo, MD

• Dermatology Physician in Ft Washington, PA
• Providers in Ft Washington, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.