Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952975344 Individual Practitioner Female Practitioner

Dr. Elizabeth Justine Nourse , MD

Dermatology • Fairborn, OH

Professional Overview & Biography Verified Profile Summary

Dr. Elizabeth Nourse, MD is a registered healthcare professional specializing in Dermatology in Fairborn, OH. Practice services are available at 725 UNIVERSITY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

725 University Blvd

Fairborn, OH 45324

Telephone 9372457200

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Fairborn, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Fairborn, OH (528 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-11
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OH 57.253352

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OH 57.253352

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
NPI 1013405406

Doctor of Medicine (M.D.), Master of Public Health

Dr. Teresa Zryd , MD

Family Medicine

NPI 1013998061

Doctor of Medicine (M.D.)

Kelsey Scuderi

Nurse Practitioner - Gerontology

NPI 1023481108
Theresia Gordnier

Family Medicine

NPI 1043703705
Dr. Gordana Gataric , MD

Internal Medicine - Geriatric Medicine

NPI 1053396168

Doctor of Medicine (M.D.)

Dr. Robert Brandt , MD

Family Medicine

NPI 1063452175

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 21, 2025

Registered at 725 UNIVERSITY BLVD, FAIRBORN, OH 45324 (Tel: 9372457200)

👤
Provider Name / Credentials Updated April 21, 2025

Recorded as ELIZABETH NOURSE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2025

Pediatrics (License #57.253352 in OH)

📍
Updated Practice Location June 25, 2022

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052639 (Tel: 6147222000)

📍
Updated Business Mailing Address June 25, 2022

Registered at 744 MOHAWK ST, COLUMBUS, OH 432062111 (Tel: 2604508784)

NPI Profile Active May 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2021

Registered at 4209 ST, OH-44, ROOTSTOWN, OH 44272 (Tel: 8006862511)

📍
Updated Business Mailing Address May 19, 2021

Registered at 4209 ST, OH-44, ROOTSTOWN, OH 44272 (Tel: 8006862511)

👤
Provider Name / Credentials Updated May 19, 2021

Recorded as ELIZABETH OTTO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952975344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2021
Last Update: April 21, 2025
Sole Proprietor: Yes

Mailing Address

744 Mohawk St

Columbus, OH 432062111

Phone: 2604508784

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.