NPIMap

Organization Active NPI

Richard Assaf Dermatology, Inc.

  • Dermatology Physician
  • Westlake, OH
National Provider Identifier
1992030704
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35064785 Issued in OH
Legal business name
RICHARD ASSAF DERMATOLOGY, INC.
Practice address
2001 Crocker Rd
Suite 150
Westlake, OH 44145-6966
Phone
(440) 871-0410
Fax
(888) 421-2247
NPI assigned
Oct 13, 2009
Last updated
Oct 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Dr. Richard R Assaf, M.D.NPI 1669421392
Title
President
Phone
(440) 871-0410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 35064785 OH Primary

Addresses

Primary practice location

2001 Crocker Rd
Suite 150
Westlake, OH 44145-6966

Mailing address

2001 Crocker Rd
Suite 150
Westlake, OH 44145-6966
Phone (440) 871-0410

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1992030704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CROCKER RD",
            "address_2": "SUITE 150",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456966",
            "telephone_number": "440-871-0410",
            "fax_number": "888-421-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CROCKER RD",
            "address_2": "SUITE 150",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456966",
            "telephone_number": "440-871-0410",
            "fax_number": "888-421-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD ASSAF DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "ASSAF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-871-0410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35064785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.