Central City Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35088794 Issued in OH

Legal business name

CENTRAL CITY DERMATOLOGY LLC

Practice address

777 W State St
501
Columbus, OH 43222-1536

Phone

(614) 452-9800

Fax

(614) 448-2720

NPI assigned

Mar 2, 2011

Organization subpart

No

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

Authorized official

Name

Nathaniel Kevin Wilkin, M.D.

Title

Director

Phone

(614) 452-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1982902839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W SPRING ST",
            "address_2": "1204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157646",
            "telephone_number": "614-452-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W STATE ST",
            "address_2": "501",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221536",
            "telephone_number": "614-452-9800",
            "fax_number": "614-448-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CITY DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "WILKIN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-452-9800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35088794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.