Blue Ash Dermatology, Llc

LBN: Blue Ash Dermatology, Llc
Blue Ash Dermatology, Llc is an health care organization with primary practice located at 9403 Kenwood Rd Ste B100, Blue Ash OH 45242-6895. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Blue Ash Dermatology, Llc can be contacted via phone (513) 891-8045, or through Patel, Samir B via phone (513) 770-4212.

Contact Information

Primary practice address
9403 Kenwood Rd Ste B100 Blue Ash OH 45242-6895
Phone: (513) 891-8045
Fax: (513) 891-8110
Website:
Map and Directions
Authorized official contact:
Name: Patel, Samir B Doctor of Medicine (MD)
Phone: (513) 770-4212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1679016745
LBN Legal business name Blue Ash Dermatology, Llc
DBA Doing business as
Authorized official Patel, Samir B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2016
Last updated May 24th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679016745 NPPES
Ohio MEDICAID 0209139

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