Westshore Dermatology Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WESTSHORE DERMATOLOGY INC

Practice address

1991 Crocker Rd
Suite 310
Westlake, OH 44145-6969

Phone

(440) 617-9114

Fax

(440) 617-9058

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Kathleen A MulliganNPI 1659320398

Title

Owner President

Phone

(440) 617-9114

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Kathleen A Mulligan, MD

  • Dermatology Physician
  • Westlake, OH
  • NPI 1659320398
  Medicare reassignment Care Compare group NPD Authorized official
• Halle Smolinski, APRN

  • Nurse Practitioner
  • Westlake, OH
  • NPI 1780170282
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1831295526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 CROCKER RD STE 310",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456971",
            "telephone_number": "440-617-9114",
            "fax_number": "440-617-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 CROCKER RD",
            "address_2": "SUITE 310",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456969",
            "telephone_number": "440-617-9114",
            "fax_number": "440-617-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSHORE DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "440-617-9114"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2369628",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARE",
            "identifier": "CK8391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westlake Nursing and Rehabilitation Center LLC
• Westlake Operations, LLC
• Westlake Operations, LLC
• Westlake R&N Opco, LLC
• Westshore Allergy and Immunology,LLC
• Westshore Primary Care Assoc Inc
• Westshore Primary Care Assoc Inc
• Westshore Primary Care Assoc. Inc.
• Westshore Primary Care Assoc., Inc.
• Westshore Primary Care Assoc., Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.