Lucent Dermatology and Skin Surgery Center Corp

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

LUCENT DERMATOLOGY AND SKIN SURGERY CENTER CORP

Practice address

2000 Auburn Dr Ste 120
Beachwood, OH 44122-4328

Phone

(440) 234-8833

NPI assigned

Feb 25, 2019

Organization subpart

No

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

Authorized official

Name

William Camp, MDNPI 1780625335

Title

Owner/Partner

Phone

(205) 612-6412

Specialties & licenses 1

Addresses

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

Locations

Practitioners 2

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

• William L Camp Jr., MD

  • Dermatology Physician
  • Beachwood, OH
  • NPI 1780625335
  Medicare reassignment Care Compare group NPD Authorized official
• Alexandra Zhang, MD

  • Dermatology Physician
  • Akron, OH
  • NPI 1003021973
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1912464157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 LUCERNE DR STE 405",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306503",
            "telephone_number": "440-234-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR STE 120",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224328",
            "telephone_number": "440-234-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCENT DERMATOLOGY AND SKIN SURGERY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "205-612-6412",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Stokes Cleveland VA Medical Center
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• Lyndsey R Lovett
• Mark Lovinger, PH.D.
• Julianna Lucas, CNP
• Erica Lucious
• Jeffrey B Ludwick, PT
• Deborah A Ludwig
• Shui Shan Lui
• Geraldyn E. Luna, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.