Dermatology Associates of Mid-Ohio

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

34005471 Issued in OH

Legal business name

DERMATOLOGY ASSOCIATES OF MID-OHIO

Practice address

1063 Harding Memorial Pkwy
Marion, OH 43302

Phone

(740) 244-8550

Fax

(740) 751-4584

NPI assigned

Dec 26, 2017

Organization subpart

No

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

Authorized official

Name

George Scott Drew, DONPI 1245298009

Title

President

Phone

(740) 389-0618

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Scott Drew, DO

  • Dermatology Physician
  • Marion, OH
  • NPI 1245298009
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Marie Janess, NP

  • Family Nurse Practitioner
  • Marion, OH
  • NPI 1427803378
  Medicare reassignment Care Compare group NPD
• Jon Carter Benson, PA-C

  • Physician Assistant
  • Marion, OH
  • NPI 1922030956
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1801302047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 HARDING MEMORIAL PKWY",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026365",
            "telephone_number": "740-244-8550",
            "fax_number": "740-751-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 HARDING MEMORIAL PKWY",
            "city": "MARION",
            "state": "OH",
            "postal_code": "43302",
            "telephone_number": "740-244-8550",
            "fax_number": "740-751-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF MID-OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-389-0618",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34005471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Deeter
• Theresa Marie Denney
• Denton-Prater Chiropractic and Natural Health
• Coleen A Denton, D.C.
• Max Lee Denton I, D.C.
• Solomon Zvi Derrow, M.D.
• Bipin Manharlal Desai, M.D.
• Nicholas Robert Desantis, D.M.D.
• Dialysis Specialists of Marion, Inc
• Colton Dickerson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.