Lucent Dermatology and Skin Surgery Center Corp
NPI 1912464157ActiveOrganization· Dermatology· Beachwood, OH
Dermatology in Beachwood, Ohio, registered in NPPES in February 2019. The authorized official on file is William Camp, MD, Owner/Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912464157 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 25, 2019 |
| Last updated in NPPES | Feb 25, 2019 |
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) |
|---|
Other Dermatology providers in Beachwood
- 1689859951
- 1649296674
- 1487545489
- 1689693756
- 1780625335
- 1972522027
- 1043875057
- 1346233160
- 1912937079
- 1629273909