University Dermatology Consultants, Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

UNIVERSITY DERMATOLOGY CONSULTANTS, INC

Practice address

222 Piedmont Ave
Suite 5300
Cincinnati, OH 45219-4231

Phone

(513) 475-7630

Fax

(513) 475-7636

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Rena Alex

Title

Director of Billing Operations

Phone

(513) 245-3066

Specialties & licenses 6

Addresses

Other identifiers 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

Locations

Practitioners 35

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

• Brian B Adams, MD

  • Dermatology Physician
  • Cincinnati, OH
  • NPI 1508803818
  NPD (past)
• Maria Luisa Bakunawa, CNP

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1538180013
  NPD (past)
• Debra L Breneman, M. D.

  • Dermatology Physician
  • Cincinnati, OH
  • NPI 1124065438
  NPD (past)
• Michelle M Choucair, M. D.

  • Dermatology Physician
  • Troy, OH
  • NPI 1356395719
  NPD (past)
• Anthony Elias, MD

  • Dermatology Physician
  • North Royalton, OH
  • NPI 1568451672
  NPD (past)
• Kristina Lynn Feder, CNP

  • Nurse Practitioner
  • Montgomery, OH
  • NPI 1215114954
  NPD (past)
• Hugh M. Gloster Jr., M. D.

  • MOHS-Micrographic Surgery Physician
  • Cincinnati, OH
  • NPI 1902850126

  Dermatology

  NPD (past)
• Kord Honda, MD

  • Dermatopathology Physician
  • Cleveland, OH
  • NPI 1699712919

  Dermatology

  NPD (past)
• Maya Jonas, MD

  • Dermatology Physician
  • Dublin, OH
  • NPI 1508848631
  NPD (past)
• Vanita Kapoor, PA-C

  • Medical Physician Assistant
  • West Chester, OH
  • NPI 1447432273
  NPD (past)
• Mary Jo Kendrick, M.D.

  • Dermatopathology Physician
  • Washington Court House, OH
  • NPI 1114097623
  NPD (past)
• Lana M King, MSN CNP

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1598850513
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1881648236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631629",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631629",
            "telephone_number": "513-245-3060",
            "fax_number": "513-245-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PIEDMONT AVE",
            "address_2": "SUITE 5300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452194231",
            "telephone_number": "513-475-7630",
            "fax_number": "513-475-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DERMATOLOGY CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "ALEX",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING OPERATIONS",
        "authorized_official_telephone_number": "513-245-3066"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0781882",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.