Active NPI
Central Ohio Skin & Cancer Inc
- Dermatology Physician
- Westerville, OH
National Provider Identifier
1922016864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- CENTRAL OHIO SKIN & CANCER INC
- Practice address
- 430 Altair Pkwy
Ste 210
Westerville, OH 43082-7647 - Phone
- (614) 898-7546
- Fax
- (614) 794-4294
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jess J Demaria, M.D.
- Title
- Owner Physicican
- Phone
- (614) 898-7546
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
430 Altair Pkwy
Ste 210
Westerville, OH 43082-7647
Mailing address
430 Altair Pkwy
Ste 210
Westerville, OH 43082-7647
Phone (614) 898-7546
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN6982 | Other | RR MEDICARE | |
| 2070342 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050927000501 | OH | Part B Supplier - Clinic/Group Practice | 4688608870 |
Receives reassigned benefits from 14 practitioners 4 other NPIs on this enrollment Practice locations: Powell, OH; Westerville, OH |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Dermatology Physician
- Upper Arlington, OH
- NPI 1174531024
O20050927000501
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0701078 | Central Ohio Skin & Cancer, Inc | Compliance | Dec 20, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 24
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- Westerville, OH
- NPI 1992757843
Dermatology, OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708646400000",
"number": "1922016864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 ALTAIR PKWY",
"address_2": "STE 210",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827647",
"telephone_number": "614-898-7546",
"fax_number": "614-794-4294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 ALTAIR PKWY",
"address_2": "STE 210",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827647",
"telephone_number": "614-898-7546",
"fax_number": "614-794-4294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL OHIO SKIN & CANCER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2024-02-23",
"status": "A",
"authorized_official_last_name": "DEMARIA",
"authorized_official_first_name": "JESS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER PHYSICICAN",
"authorized_official_telephone_number": "614-898-7546",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CN6982",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2070342",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
- Central Ohio Podiatry Group Inc
- Central Ohio Primary Care Physicians Inc
- Central Ohio Primary Care Physicians, Inc.
- Central Ohio Primary Care Physicians, Inc.
- Central Ohio Primary Care Physicians, Inc.
- Central Ohio Spine and Joint, Inc
- Central Ohio Surgical Assistants
- Central Ohio Taxi LLC
- Central Ohio TMJD & Dental Sleep Therapy LLC
- Century Home Health Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.