Aesthetic Dermatology PA
NPI 1225101231ActiveOrganization· Dermatology· Clermont, FL
Dermatology in Clermont, Florida, registered in NPPES in November 2006. The authorized official on file is David L. Allyn, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225101231 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2006 |
| Last updated in NPPES | Jan 14, 2025 |
| Certified by provider | Jan 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology | 207N00000X | ME70658 | FL |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Dermatology, Procedural Dermatology | 207NS0135X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Dermatology providers in Clermont
- 1144488628
- 1770587735
- 1447593686
- 1285742007