Individual provider Active NPI

John C. Moad, M.D.

  • Dermatopathology Physician
  • Dayton, OH
National Provider Identifier
1962484204
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
OH35076460 Issued in OH
Practice address
7835 Paragon Road
Dayton, OH 45459
Phone
(937) 434-2351
Fax
(937) 434-1266
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X OH35076460 OH Primary

Addresses

Primary practice location

7835 Paragon Road
Dayton, OH 45459

Mailing address

7835 Paragon Road
Dayton, OH 45459-4021
Phone (937) 434-2351

Other identifiers 1

IdentifierTypeStateIssuer
9576541MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171227001503 OH Practitioner - Pathology 4587932967 Reassigns benefits to 1 organization
I20250728000702 NC Practitioner - Pathology 4587932967 Reassigns benefits to 1 organization
I20250806000131 SC Practitioner - Pathology 4587932967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Missouri, Kansas City, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrolina Dermatology and Skin Surgery Specialists PLLCGroup PAC ID 3173891892, 39 clinicians

Practice addresses (Care Compare)

10502 Park Rd
Suite 100
Charlotte, NC 28210-6569
Phone (980) 299-3926

2630 E 7TH St
Suite 200
Charlotte, NC 28204-4319
Phone (704) 364-6110

8208 Devon CT
Suite B
Myrtle Beach, SC 29572-4178
Phone (704) 364-6110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OH35076460OHMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanova Dermatology PLLC Current Accepting new patients
Metrolina Dermatology and Skin Surgery Specialists, PLLC Dermatopathology CurrentSince Apr 28, 2025 Accepting new patients
Dermatologists of Southwestern Ohio, LLC. CurrentSince Dec 20, 2017 Accepting new patients
Dermatology & Skin Surgery Center PastSince Jan 1, 2024 Accepting new patients
Dermatopathology Laboratory of Central States Dermatopathology Past Accepting new patients

Locations

10502 Park Rd
Ste 100
Charlotte, NC 28210
Phone (704) 541-9092

5300 Far Hills Ave
Dayton, OH 45429
Phone (513) 433-7536

7835 Paragon Rd
Dayton, OH 45459
Phone (937) 434-2351

5300 Far Hills Ave
Ste 300
Kettering, OH 45429
Phone (937) 433-7536

8208 Devon Ct
#B
Myrtle Beach, SC 29572
Phone (843) 839-2460

Organizations & group practices 5

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962484204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 PARAGON ROAD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594021",
            "telephone_number": "937-434-2351",
            "fax_number": "937-434-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 PARAGON ROAD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-434-2351",
            "fax_number": "937-434-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAD",
        "first_name": "JOHN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "OH",
            "license": "OH35076460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9576541",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.