Organization Active NPI

Dermatology Allergy General Physicians of Ohio Inc

Dermatology Physician
Lima, OH

National Provider Identifier

1902009327

Registry record updated Oct 5, 2009

On this page

Key facts
NPPES NPI Registry
National Provider Directory
NPI Registry JSON
Other providers in Lima, OH
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Dermatology PhysicianTaxonomy code 207N00000X
License: 35 04 3565M Issued in OH
Legal business name: DERMATOLOGY ALLERGY GENERAL PHYSICIANS OF OHIO INC
Practice address: 1820 C Street
Lima, OH 45804-1832
Phone: (419) 222-4559
Fax: (419) 222-4589
NPI assigned: Jun 6, 2007
Last updated: Oct 5, 2009By the provider in NPPES
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name: Mrs. Theresa Lynn McFarland
Title: Corporation Secretary
Phone: (937) 233-0748

Specialties & licenses 3

Specialty (taxonomy)	Code	License	State	Primary
Dermatology Physician	207N00000X	35 04 3565M	OH	Primary
Internal Medicine Physician	207R00000X	35 05 8434M	OH
Clinical Pathology/Laboratory Medicine Physician	207ZP0105X	34003765F	OH

Addresses

Primary practice location

1820 C Street
Lima, OH 45804-1832

Mailing address

5212 Brandt Pike
Suite a
Huber Heights, OH 45424-6138
Phone (937) 233-0748

Other identifiers 8

Identifier	Type	State	Issuer
000000011383	Other	OH	ANTHEM PIN
485805933016	Other	OH	MMO PIN
368588672019	Other	OH	MMO PIN
000000066851	Other	OH	ANTHEM PIN
485805933022	Other	OH	MMO PIN
000000011437	Other	OH	ANTHEM PIN
9190167	Other	OH	PTAN
394601220019	Other	OH	MMO PIN

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1902009327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 BRANDT PIKE",
            "address_2": "SUITE A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454246138",
            "telephone_number": "937-233-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 C STREET",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041832",
            "telephone_number": "419-222-4559",
            "fax_number": "419-222-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ALLERGY GENERAL PHYSICIANS OF OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CORPORATION SECRETARY",
        "authorized_official_telephone_number": "937-233-0748",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35 04 3565M",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35 05 8434M",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "OH",
            "license": "34003765F",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000011383",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMO PIN",
            "identifier": "485805933016",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMO PIN",
            "identifier": "368588672019",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000066851",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMO PIN",
            "identifier": "485805933022",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000011437",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "9190167",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMO PIN",
            "identifier": "394601220019",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.