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Signature Dermatology LLC

NPI 1679723894ActiveOrganization· Dermatology· Hilliard, OH

Dermatology in Hilliard, Ohio, registered in NPPES in September 2008. The authorized official on file is Andrea Costanza, D.O., Director. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1679723894
StatusActive
Entity typeOrganization
NPI issuedSep 24, 2008
Last updated in NPPESSep 24, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (OH)

Medicare sources and data years

Other Dermatology providers in Hilliard

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