Individual provider Active NPI

Stephanie L Cotell, M.D.

  • Dermatology Physician
  • Gahanna, OH
National Provider Identifier
1922093459
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35079994C Issued in OH
Practice address
925 N Hamilton Rd Ste 100
Gahanna, OH 43230-8709
Phone
(614) 473-9519
Fax
(614) 473-9543
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35079994C OH Primary

Addresses

Primary practice location

925 N Hamilton Rd Ste 100
Gahanna, OH 43230-8709

Mailing address

925 N Hamilton Rd Ste 100
Gahanna, OH 43230-8709
Phone (614) 473-9519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606001076 OH Practitioner - Dermatology 3678516192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Dermatology and Cosmetic Surgery CenterGroup PAC ID 2264439181, 6 clinicians

Practice addresses (Care Compare)

925 N Hamilton Rd
Suite 100
Gahanna, OH 43230-8709
Phone (614) 473-9519

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions966
Removal or shaving of skin growth95
Skin biopsy169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35079994COHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Dermatology and Cosmetic Surgery Center Dermatology CurrentSince Dec 21, 2007 Accepting new patients
Eastside Dermatology, Inc. Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

150 Taylor Station Rd
Ste 250
Columbus, OH 43213
Phone (614) 863-3222

925 N Hamilton Rd
Ste 100
Gahanna, OH 43230
Phone (614) 473-9519

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1922093459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N HAMILTON RD STE 100",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308709",
            "telephone_number": "614-473-9519",
            "fax_number": "614-473-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N HAMILTON RD STE 100",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308709",
            "telephone_number": "614-473-9519",
            "fax_number": "614-473-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTELL",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35079994C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.