Eastside Dermatology & Skin Care Center, Eastside Dermatology Of Hilla

LBN: Eastside Dermatology, Inc.
Eastside Dermatology & Skin Care Center, Eastside Dermatology Of Hilla is an health care organization with primary practice located at 150 Taylor Station Rd Suite 250, Columbus OH 43213. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. Eastside Dermatology, Inc. can be contacted via phone (614) 863-3222, or through Parks, Alan J via phone (614) 863-3222.

Contact Information

Primary practice address
150 Taylor Station Rd Suite 250 Columbus OH 43213
Phone: (614) 863-3222
Fax: (614) 863-4450
Website:
Map and Directions
Authorized official contact:
Name: Parks, Alan J Doctor of Medicine (MD)
Phone: (614) 863-3222

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 35054686 Ohio

Profile Details

NPI number 1063564664
LBN Legal business name Eastside Dermatology, Inc.
DBA Doing business as Eastside Dermatology & Skin Care Center, Eastside Dermatology Of Hilla
Authorized official Parks, Alan J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Oct 16th, 2008 - about 16 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 1063564664 NPPES
Ohio Other 000000214662 STEPHANIE COTELL ANTHEM I
Ohio Other 1215972484 STEPHANIE COTELL ANTHEM I
Ohio Other 1598751653 STEPHANIE COTELL ANTHEM I
Ohio Other 000000118991 STEPHANIE COTELL ANTHEM I
Ohio MEDICAID 0665856 STEPHANIE COTELL ANTHEM I
Ohio Other 1922093459 STEPHANIE COTELL ANTHEM I
Ohio MEDICAID 2285218 STEPHANIE COTELL ANTHEM I

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