Dermatologic Surgery Center of Northeast Ohio Inc
NPI 1205104601 · MOHS-Micrographic Surgery Physician · Medina, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatologic Surgery Center of Northeast Ohio Inc is a MOHS-Micrographic Surgery Physician organization in Medina, OH (NPI 1205104601).
Provider details
- NPI number
- 1205104601
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Popovsky, President(330) 239-4350
- License
- 35076146P (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-12-13
- Last updated
- 2012-02-27
Frequently asked questions
- What is Dermatologic Surgery Center of Northeast Ohio Inc's NPI number?
- Dermatologic Surgery Center of Northeast Ohio Inc's National Provider Identifier (NPI) is 1205104601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatologic Surgery Center of Northeast Ohio Inc?
- Dermatologic Surgery Center of Northeast Ohio Inc is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatologic Surgery Center of Northeast Ohio Inc located?
- Dermatologic Surgery Center of Northeast Ohio Inc's practice location on file with NPPES is 1133 Medina Rd, Medina, OH 44256-0000.
- What is Dermatologic Surgery Center of Northeast Ohio Inc's phone number?
- The practice phone number listed in the NPPES registry for Dermatologic Surgery Center of Northeast Ohio Inc is (330) 238-4350.
- Does Dermatologic Surgery Center of Northeast Ohio Inc accept Medicare?
- Dermatologic Surgery Center of Northeast Ohio Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dermatologic Surgery Center of Northeast Ohio Inc?
- The authorized official listed on Dermatologic Surgery Center of Northeast Ohio Inc's NPPES record is Jennifer Popovsky, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatologic Surgery Center of Northeast Ohio Inc's NPI active?
- Yes — Dermatologic Surgery Center of Northeast Ohio Inc's NPI (1205104601) is active in the NPPES registry as of the last update on 2012-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.