Advanced Dermatology of Ohio, Inc
NPI 1760491401ActiveOrganization· Dermatology· Mason, OH
Dermatology in Mason, Ohio, registered in NPPES in August 2006. The authorized official on file is Amy E. Declue, Director, Provider Services. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760491401 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 5, 2006 |
| Last updated in NPPES | Oct 25, 2023 |
| Certified by provider | Oct 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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 (OH) |
|---|
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