Organization Active NPI

Columbus Skin Surgery Center, Inc.

  • MOHS-Micrographic Surgery Physician
  • Dublin, OH
National Provider Identifier
1942433065
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
127136 Issued in NC
Legal business name
COLUMBUS SKIN SURGERY CENTER, INC.
Practice address
6670 Perimeter Dr
Suite 260
Dublin, OH 43016-8056
Phone
(614) 389-2200
NPI assigned
Aug 25, 2009
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Sharon L. ThorntonNPI 1215970157
Title
MD
Phone
(336) 803-1445

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)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 127136 NC Primary

Addresses

Primary practice location

6670 Perimeter Dr
Suite 260
Dublin, OH 43016-8056

Mailing address

6670 Perimeter Dr
Suite 260
Dublin, OH 43016-8056
Phone (614) 389-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091027000906 OH Part B Supplier - Clinic/Group Practice 6002953890 Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1105263Columbus Skin Surgery Center Inc6670 Perimeter Drive, Suite 260, Dublin, OH 43016ComplianceMay 13, 2028

National Provider Directory

National Provider Directory

Locations

6670 Perimeter Dr
Ste 260
Dublin, OH 43016
Phone (614) 389-2200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1942433065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 PERIMETER DR",
            "address_2": "SUITE 260",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168056",
            "telephone_number": "614-389-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 PERIMETER DR",
            "address_2": "SUITE 260",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168056",
            "telephone_number": "614-389-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS SKIN SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "336-803-1445",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "127136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.