Center for Surgical Dermatology Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CENTER FOR SURGICAL DERMATOLOGY INC

Practice address

428 County Line Road
Westerville, OH 43082-7027

Phone

(614) 847-4100

Fax

(614) 430-1601

NPI assigned

Jul 1, 2006

Last updated

Jul 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald J Siegle, MDNPI 1780669044

Title

Owner

Phone

(614) 847-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 42

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.

• Morgan Amigo, MD

  • Dermatology Physician
  • Westerville, OH
  • NPI 1659957488
  Medicare reassignment Care Compare group NPD
• Brian P Biernat, MD

  • MOHS-Micrographic Surgery Physician
  • Westerville, OH
  • NPI 1386629640

  Dermatology

  Medicare reassignment Care Compare group NPD
• Angela Sanfilippo Casey, MD

  • MOHS-Micrographic Surgery Physician
  • Westerville, OH
  • NPI 1467572743

  Dermatology

  Medicare reassignment Care Compare group NPD
• Nanda Channaiah, D.O.

  • Procedural Dermatology Physician
  • Westerville, OH
  • NPI 1558551036
  Medicare reassignment Care Compare group NPD
• Michael Craig Duffey, M.D.

  • Dermatology Physician
  • Lancaster, OH
  • NPI 1417134248
  Medicare reassignment Care Compare group NPD
• Kristopher Reed Fisher, M.D.

  • Dermatopathology Physician
  • Westerville, OH
  • NPI 1912125204

  Dermatology

  Medicare reassignment Care Compare group NPD
• Joshua A Grosshandler, M.D.

  • Dermatology Physician
  • Westerville, OH
  • NPI 1023320389
  Medicare reassignment Care Compare group NPD
• Farhana Hasan, MD, MPH

  • Dermatology Physician
  • Columbus, OH
  • NPI 1922193663
  Medicare reassignment Care Compare group NPD
• Peter John Hayes, M.D.

  • Dermatology Physician
  • Westerville, OH
  • NPI 1568882116
  Medicare reassignment Care Compare group NPD
• John Michael Holsinger, D.O.

  • Dermatology Physician
  • Pickerington, OH
  • NPI 1992997548
  Medicare reassignment Care Compare group NPD
• Kevin B Karikomi, D.O.

  • Dermatology Physician
  • Westerville, OH
  • NPI 1376558932
  Medicare reassignment Care Compare group NPD
• Deepa Channaiah Lingam, M.D.

  • Dermatology Physician
  • Westerville, OH
  • NPI 1336246297
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1972532091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 COUNTY LINE ROAD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827027",
            "telephone_number": "614-847-4100",
            "fax_number": "614-430-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 COUNTY LINE ROAD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827027",
            "telephone_number": "614-847-4100",
            "fax_number": "614-430-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SURGICAL DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "SIEGLE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-847-4100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2438366",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard K. Cavender, MD
• Abass Ceesay
• Centenial Home Health Care, LLC
• Center for Neuropsychological Services LLC
• Center for Neuropsychological Services LLC
• Central College Christian Counseling
• Central Ohio Anesthesia Inc
• Central Ohio Comprehensive Foot Care LLC
• Central Ohio Ear Nose and Throat Inc.
• Central Ohio Endoscopy Center, LLC

• Dermatology Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.