Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermatologic Surgery Center of Northeast Ohio Inc

Organization MOHS-Micrographic Surgery Physician · NPI 1205104601

Dermatologic Surgery Center of Northeast Ohio Inc is an MOHS-Micrographic Surgery Physician in Medina, Ohio. Licensed in Ohio. Registered with an NPI since 2011.

Licensed in
OH
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1133 Medina Rd Ste 100
Medina, OH 44256-0000
Phone: (330) 238-4350
Fax: (330) 239-4584
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 35076146P (OH)

Record details

NPI number1205104601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Popovsky — President · (330) 239-4350
NPI enumeratedDecember 13, 2011
Last updated in NPPESFebruary 27, 2012
Mailing address1133 Medina Rd, Suite 100, Medina, OH 44256

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