Organization Active NPI

Dermatology Associates of Cleveland, Inc.

  • Dermatology Physician
  • Mayfield Heights, OH
National Provider Identifier
1861407439
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY ASSOCIATES OF CLEVELAND, INC.
Practice address
6803 Mayfield Rd
Suite 510
Mayfield Heights, OH 44124-2271
Phone
(440) 461-7001
Fax
(440) 461-7885
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Susan Skoch
Title
Office Manager
Phone
(440) 461-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

6803 Mayfield Rd
Suite 510
Mayfield Heights, OH 44124-2271

Mailing address

6803 Mayfield Rd
Suite 510
Mayfield Heights, OH 44124-2271
Phone (440) 461-7001

Other identifiers 1

IdentifierTypeStateIssuer
0957924MedicaidOH

National Provider Directory

National Provider Directory

Locations

26900 Cedar Rd
#320
Beachwood, OH 44122
Phone (216) 831-9464

6803 Mayfield Rd
Ste 510
Mayfield Hts, OH 44124
Phone (216) 444-6612

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1861407439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 MAYFIELD RD",
            "address_2": "SUITE 510",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242271",
            "telephone_number": "440-461-7001",
            "fax_number": "440-461-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 MAYFIELD RD",
            "address_2": "SUITE 510",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242271",
            "telephone_number": "440-461-7001",
            "fax_number": "440-461-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF CLEVELAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "SKOCH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-461-7001"
    },
    "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": "0957924",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.