Cincyskin Medical and Cosmetic Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CINCYSKIN MEDICAL AND COSMETIC DERMATOLOGY LLC

Practice address

8300 Kenwood Rd Ste a
Cincinnati, OH 45236-2294

Phone

(513) 393-9122

Fax

(513) 715-0003

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Christine Fisher, DONPI 1528401213

Title

Owner

Phone

(937) 681-0104

Specialties & licenses 1

Addresses

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 2

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

• Jacqueline Christine Fisher, DO

  • Dermatology Physician
  • Cincinnati, OH
  • NPI 1528401213
  Medicare reassignment NPD Authorized official
• Keith Michael Ripploh, D.C.

  • Chiropractor
  • Cincinnati, OH
  • NPI 1720389869
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1992373062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 KENWOOD RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362294",
            "telephone_number": "513-393-9122",
            "fax_number": "513-715-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 KENWOOD RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362294",
            "telephone_number": "513-393-9122",
            "fax_number": "513-715-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCYSKIN MEDICAL AND COSMETIC DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-681-0104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sara Jane Cinefro
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• Cinphilly Homecare LLC
• Cintas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.