Active NPI 1588662142 Individual Practitioner Male Practitioner

Dr. Thomas E Fleming , MD

Dermatology • Sandusky, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Fleming, MD is a certified Dermatology practicing in Sandusky, OH. With approximately 28 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1998, Dr. Fleming delivers high-quality medical care to the local community at 2500 W STRUB RD.

Dr. Fleming is affiliated with Northern Ohio Medical Specialists, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 W Strub Rd
Suite 350

Sandusky, OH 448705390

Telephone 4195023376

Associated Practice Facility / Clinic

🏢 Dermatology Partners, Inc. Facility NPI 1437226636

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Sandusky, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +6.8 yrs vs City Avg

City Avg: 21.2 Yrs

State Avg: 23.5 Yrs

Regional Practice Density

7 Specialists

Practicing in Sandusky, OH (528 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fleming (28 Years) 28 Yrs

Sandusky Specialty Average (21.2 Years) 21.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	216	194	$1610.00	$641.40
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	142	101	$965.00	$389.12
17003 Destruction of precancer skin growth, 2-14 growths	65	12	$25.00	$6.28
17000 Destruction of skin growth	20	19	$179.00	$34.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	652	120	$25.00	$6.19
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	339	286	$1610.00	$648.83
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	235	154	$965.00	$393.58
99213 Established patient office or other outpatient visit, typically 15 minutes	201	188	$160.00	$87.29
17000 Destruction of skin growth	163	153	$179.85	$45.37
11102 Tangential biopsy of single skin lesion	78	76	$250.00	$89.26
17110 Destruction of up to 14 skin growths	57	55	$275.00	$103.20
17004 Destruction of precancer skin growth, 15 or more growths	34	33	$380.00	$161.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	28	$120.00	$54.38
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	28	$1170.00	$271.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$240.00	$123.67
11103 Biopsy of related skin growth, each additional growth	27	22	$130.00	$48.06
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	17	$960.00	$131.47
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	13	13	$1200.00	$152.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,555	280	$25.00	$6.45
99213 Established patient office or other outpatient visit, typically 15 minutes	528	471	$160.00	$88.38
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	400	323	$1610.00	$649.64
17000 Destruction of skin growth	383	343	$179.20	$49.51
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	248	165	$965.00	$393.52
11102 Tangential biopsy of single skin lesion	231	201	$247.71	$88.78
17110 Destruction of up to 14 skin growths	174	158	$274.63	$107.05
17004 Destruction of precancer skin growth, 15 or more growths	116	97	$380.00	$162.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	91	$120.00	$55.03
11103 Biopsy of related skin growth, each additional growth	81	56	$130.00	$49.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	73	$240.00	$125.11
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	49	42	$960.00	$160.55
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	46	43	$1170.00	$286.28
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	32	32	$1200.00	$155.00
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	26	23	$1100.00	$199.38
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	16	16	$1120.00	$180.62
69100 Biopsy of ear	14	14	$240.00	$67.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$205.00	$109.84
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	11	11	$1210.00	$287.47
17111 Destruction of skin growth, 15 or more growths	11	11	$320.00	$128.09
11200 Removal of skin tag, 1-15 skin tags	11	11	$340.00	$71.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,986	308	$25.00	$6.23
99213 Established patient office or other outpatient visit, typically 15 minutes	598	510	$159.38	$89.92
17000 Destruction of skin growth	471	387	$179.00	$48.46
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	407	336	$1610.00	$655.72
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	251	167	$965.00	$397.38
11102 Tangential biopsy of single skin lesion	226	195	$240.00	$91.99
17110 Destruction of up to 14 skin growths	200	188	$270.00	$108.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	151	$237.23	$127.74
17004 Destruction of precancer skin growth, 15 or more growths	136	104	$380.00	$161.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	72	$119.87	$54.31
11103 Biopsy of related skin growth, each additional growth	72	59	$130.00	$51.43
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	53	50	$1170.00	$284.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	44	41	$960.00	$173.95
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	35	35	$1200.00	$161.17
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	25	$1100.00	$171.81
69100 Biopsy of ear	22	18	$240.00	$66.05
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	15	15	$1210.00	$309.30
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	14	13	$1120.00	$207.49
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$640.00	$86.87
11200 Removal of skin tag, 1-15 skin tags	11	11	$340.00	$67.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,125	368	$24.99	$5.79
99213 Established patient office or other outpatient visit, typically 15 minutes	721	664	$140.00	$73.55
17000 Destruction of skin growth	506	464	$179.00	$49.36
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	415	336	$1376.94	$645.61
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	272	173	$824.21	$385.53
11102 Tangential biopsy of single skin lesion	254	227	$240.00	$89.73
17110 Destruction of up to 14 skin growths	204	198	$269.75	$107.17
17004 Destruction of precancer skin growth, 15 or more growths	183	151	$362.95	$153.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	72	$200.00	$107.22
11103 Biopsy of related skin growth, each additional growth	74	49	$130.00	$51.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	57	$110.00	$44.37
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	46	42	$1170.00	$269.28
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	43	36	$960.00	$157.92
69100 Biopsy of ear	33	32	$240.00	$77.91
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$140.00	$74.11
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	19	$1100.00	$201.17
99201 New patient office or other outpatient visit, typically 10 minutes	19	19	$110.00	$44.58
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	18	18	$1424.44	$608.75
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	17	17	$1210.00	$253.15
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	14	$1200.00	$160.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,577	585	$25.03	$5.40
99213 Established patient office or other outpatient visit, typically 15 minutes	1,165	976	$139.44	$71.81
17000 Destruction of skin growth	864	717	$179.00	$49.23
11102 Tangential biopsy of single skin lesion	499	431	$240.00	$83.31
17110 Destruction of up to 14 skin growths	403	374	$265.00	$103.27
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	394	332	$1300.00	$643.68
17004 Destruction of precancer skin growth, 15 or more growths	291	206	$360.00	$146.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	254	227	$108.86	$43.47
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	226	146	$780.00	$382.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	110	$199.74	$105.79
11103 Biopsy of related skin growth, each additional growth	124	91	$130.00	$50.72
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	121	106	$960.00	$170.19
99202 New patient office or other outpatient visit, typically 20 minutes	108	108	$139.63	$74.01
99201 New patient office or other outpatient visit, typically 10 minutes	98	98	$109.49	$44.18
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	93	86	$1170.00	$288.17
69100 Biopsy of ear	52	49	$240.00	$86.66
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	43	41	$1100.00	$192.63
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	38	37	$1149.47	$149.86
17111 Destruction of skin growth, 15 or more growths	35	34	$315.00	$125.75
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	29	28	$1210.00	$288.28
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	19	$640.00	$89.54
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	11	$75.00	$21.69
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	17	17	$1400.00	$604.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	16	11	$10.00	$1.54
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	13	$1120.00	$198.80
11200 Removal of skin tag, 1-15 skin tags	12	12	$340.00	$78.46
11900 Injection into skin growth, 1-7 growths	12	11	$135.00	$44.87
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	11	11	$1335.00	$170.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$200.00	$105.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,765	616	$25.00	$5.02
99213 Established patient office or other outpatient visit, typically 15 minutes	1,270	1,016	$130.00	$70.06
17000 Destruction of skin growth	918	762	$179.00	$50.65
11100 Biopsy of single growth of skin and/or tissue	607	505	$400.00	$90.05
17110 Destruction of up to 14 skin growths	465	407	$265.00	$103.61
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	403	323	$1300.00	$624.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	358	311	$100.00	$41.81
17004 Destruction of precancer skin growth, 15 or more growths	296	215	$360.00	$137.64
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	219	132	$780.00	$368.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	138	$195.00	$102.79
11101 Biopsy of each additional growth of skin and/or tissue	170	126	$130.00	$31.63
99202 New patient office or other outpatient visit, typically 20 minutes	160	160	$135.00	$72.07
99201 New patient office or other outpatient visit, typically 10 minutes	150	150	$100.00	$42.65
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	135	119	$1170.00	$276.52
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	127	107	$960.00	$151.66
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	53	52	$1100.00	$190.70
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	48	45	$1210.00	$259.37
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	44	42	$1140.00	$144.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	39	13	$10.00	$1.82
17111 Destruction of skin growth, 15 or more growths	37	36	$315.00	$124.11
69100 Biopsy of ear	34	33	$240.00	$86.19
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	34	33	$640.00	$79.84
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	30	29	$1120.00	$152.42
11900 Injection into skin growth, 1-7 growths	22	14	$135.00	$47.67
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	20	19	$1335.00	$190.20
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	17	17	$1180.00	$167.10
11200 Removal of skin tag, 1-15 skin tags	15	15	$340.00	$74.27
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	15	13	$575.00	$95.53
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	13	13	$1400.00	$590.65
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	12	$995.00	$217.65
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	12	11	$885.00	$155.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$195.00	$103.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,209	658	$25.00	$5.32
99213 Established patient office or other outpatient visit, typically 15 minutes	1,313	1,048	$130.00	$69.81
17000 Destruction of skin growth	1,012	811	$179.00	$50.48
11100 Biopsy of single growth of skin and/or tissue	603	521	$384.04	$86.50
17110 Destruction of up to 14 skin growths	519	464	$260.63	$102.26
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	406	330	$1300.00	$622.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	376	328	$100.00	$41.43
17004 Destruction of precancer skin growth, 15 or more growths	289	206	$360.00	$142.32
99202 New patient office or other outpatient visit, typically 20 minutes	249	249	$135.00	$71.45
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	223	151	$780.00	$367.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	153	$195.00	$103.18
99201 New patient office or other outpatient visit, typically 10 minutes	164	164	$100.00	$41.55
11101 Biopsy of each additional growth of skin and/or tissue	161	115	$130.00	$31.14
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	148	132	$1169.53	$267.76
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	123	111	$959.67	$160.36
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	82	77	$1134.63	$143.54
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	57	46	$1100.00	$183.04
17111 Destruction of skin growth, 15 or more growths	45	42	$305.33	$124.34
69100 Biopsy of ear	44	43	$240.00	$75.38
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	36	34	$1184.44	$264.21
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	35	34	$1058.57	$181.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	28	12	$10.00	$1.81
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	28	28	$1098.57	$131.28
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	25	$639.44	$84.85
87220 Tissue fungi or parasites	26	26	$15.00	$5.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$195.00	$100.97
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	18	$994.74	$199.48
11200 Removal of skin tag, 1-15 skin tags	17	17	$340.00	$64.52
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	14	14	$1261.43	$175.85
40490 Biopsy of lip	13	12	$464.69	$119.05

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OH 35070175

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2353206 (OH)

Commercial Insurance / Payer ID Anthem Blue Cross

000000140613 (OH)

Hospital & Practice Group Affiliations

Northern Ohio Medical Specialists, Llc

3004 Hayes Ave, Sandusky, OH 448705321

Phone: 4196091112

Northern Ohio Medical Specialists, Llc

2500 W Strub Rd, Sandusky, OH 448705390

Practice Associates & Co-Workers

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

5 Associated Practitioners

Natalie Felter , NP

Nurse Practitioner

NPI 1184075087

Nurse Practitioner

Rylee Northeim , PA-C

Physician Assistant - Surgical

NPI 1457963472

Physician Assistant (Certified)

Dr. Emily Petitti , MD

Dermatology

NPI 1629497987

Doctor of Medicine (M.D.)

Alison Winans , PA-C

Physician Assistant

NPI 1801061502

Physician Assistant (Certified)

Mandi Fleming , CNP

Nurse Practitioner - Family

NPI 1922272558

Certified Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 05, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 05, 2013

Registered at 2500 W STRUB RD, SUITE 350, SANDUSKY, OH 448705390 (Tel: 4195023376)

📍

Updated Business Mailing Address December 05, 2013

Registered at PO BOX 378, SANDUSKY, OH 448710378 (Tel: 4196091112)

👤

Provider Name / Credentials Updated December 05, 2013

Recorded as THOMAS FLEMING, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2013

Dermatology (License #35070175 in OH)

🟢

Initial NPI Registration & Enumeration July 08, 2005

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: 1588662142

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 08, 2005

Last Update: December 05, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 378

Sandusky, OH 448710378

Phone: 4196091112

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

⚠️ Medical Disclaimer

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