Optima Dermatology LLC
NPI 1831187764ActiveOrganization· Dermatology· Boardman, OH
Dermatology in Boardman, Ohio, registered in NPPES in October 2005. The authorized official on file is John Bernat, MD, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1831187764 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2005 |
| Last updated in NPPES | Jul 1, 2024 |
| Certified by provider | Jul 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Specialist | 174400000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Dermatology, Dermatopathology | 207ND0900X | — | — |
| Pathology, Anatomic Pathology | 207ZP0101X | — | — |
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 (IN); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (OH) |
|---|
Other Dermatology providers in Boardman
- 1093020133
- 1134100811