Advanced Dermatology of Ohio, Inc
NPI 1760491401 · Dermatology Physician · Mason, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Dermatology of Ohio, Inc is a Dermatology Physician organization in Mason, OH (NPI 1760491401).
Provider details
- NPI number
- 1760491401
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Declue, Director, Provider Services(407) 875-2080
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2361 Lakeview Dr Unit 2361Beavercreek, OH 45431-3695Phone: (937) 306-0200
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2023-10-25
- Certified
- 2023-10-25
Frequently asked questions
- What is Advanced Dermatology of Ohio, Inc's NPI number?
- Advanced Dermatology of Ohio, Inc's National Provider Identifier (NPI) is 1760491401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dermatology of Ohio, Inc?
- Advanced Dermatology of Ohio, Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Dermatology of Ohio, Inc located?
- Advanced Dermatology of Ohio, Inc's practice location on file with NPPES is 4834 Socialville Foster Rd Ste 20, Mason, OH 45040-6827.
- What is Advanced Dermatology of Ohio, Inc's phone number?
- The practice phone number listed in the NPPES registry for Advanced Dermatology of Ohio, Inc is (513) 459-1988.
- Does Advanced Dermatology of Ohio, Inc accept Medicare?
- Advanced Dermatology of 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 Advanced Dermatology of Ohio, Inc?
- The authorized official listed on Advanced Dermatology of Ohio, Inc's NPPES record is Amy Declue, Director, Provider Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dermatology of Ohio, Inc's NPI active?
- Yes — Advanced Dermatology of Ohio, Inc's NPI (1760491401) is active in the NPPES registry as of the last update on 2023-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.