Active NPI
Andrew D Quillin MD Dermatology LLC
- Dermatology Physician
- Columbus, OH
National Provider Identifier
1922284207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 74529
- Legal business name
- ANDREW D QUILLIN MD DERMATOLOGY LLC
- Practice address
- 170 Northwoods Blvd
Suite 10
Columbus, OH 43235-4711 - Phone
- (614) 436-7188
- Fax
- (614) 436-0323
- NPI assigned
- Jan 16, 2008
- 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
- Andrew D Quillin, MD
- Title
- Physician
- Phone
- (614) 436-7188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 74529 | OH | Primary |
Addresses
Primary practice location
170 Northwoods Blvd
Suite 10
Columbus, OH 43235-4711
Mailing address
170 Northwoods Blvd
Suite 10
Columbus, OH 43235-4711
Phone (614) 436-7188
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 |
|---|---|---|---|
| 36D0953820 | Andrew D Quillin MD | Provider-performed microscopy | Nov 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
170 Northwoods Blvd
Columbus, OH 43235
Phone (614) 436-7188
Practitioners & affiliated clinicians
Practitioners 1
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 1467572743
Dermatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202256000000",
"number": "1922284207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 NORTHWOODS BLVD",
"address_2": "SUITE 10",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354711",
"telephone_number": "614-436-7188",
"fax_number": "614-436-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 NORTHWOODS BLVD",
"address_2": "SUITE 10",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354711",
"telephone_number": "614-436-7188",
"fax_number": "614-436-0323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW D QUILLIN MD DERMATOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-16",
"last_updated": "2008-02-06",
"status": "A",
"authorized_official_last_name": "QUILLIN",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "614-436-7188",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "OH",
"license": "74529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.