Organization Active NPI

Dermatology Associates Inc

  • Dermatology Physician
  • Perrysburg, OH
National Provider Identifier
1962578393
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35049683 Issued in OH
Legal business name
DERMATOLOGY ASSOCIATES INC
Practice address
12780 Roachton Road
#1
Perrysburg, OH 43551
Phone
(419) 872-0777
Fax
(419) 872-2369
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Christy A Lorton, MDNPI 1891798500
Title
President
Phone
(419) 872-0777

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 35049683 OH Primary

Addresses

Primary practice location

12780 Roachton Road
#1
Perrysburg, OH 43551

Mailing address

12780 Roachton Road
#1
Perrysburg, OH 43551
Phone (419) 872-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080813000451 OH Part B Supplier - Clinic/Group Practice 7113092917 Receives reassigned benefits from 15 practitioners
Practice locations: Perrysburg, OH; Toledo, 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
36D2008638Dermatology Associates Inc12780 Roachton Rd Ste 1, Perrysburg, OH 43551ComplianceDec 2, 2026

National Provider Directory

National Provider Directory

Locations

12780 Roachton Rd
Perrysburg, OH 43551
Phone 4198720777107

12780 Roachton Rd
Ste 1
Perrysburg, OH 43551

12780 Roachton Rd
#1
Perrysburg, OH 43551
Phone 4198720777 ext. 107

3141 Central Park W
Toledo, OH 43617

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1962578393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12780 ROACHTON ROAD",
            "address_2": "#1",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "419-872-0777",
            "fax_number": "419-872-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 ROACHTON ROAD",
            "address_2": "#1",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "419-872-0777",
            "fax_number": "419-872-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "LORTON",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-872-0777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35049683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.