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

Eastside Dermatology, Inc

Organization Procedural Dermatology Physician · NPI 1063564664

Eastside Dermatology, Inc is a Procedural Dermatology Physician in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
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

150 Taylor Station Rd Ste 250
Columbus, OH 43213
Phone: (614) 863-3222
Fax: (614) 863-4450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 35054686 (OH)

Record details

NPI number1063564664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Parks — President · (614) 863-3222
Other names Eastside Dermatology & Skin Care Center, Eastside Dermatology Of Hilla
NPI enumeratedJanuary 17, 2007
Last updated in NPPESOctober 16, 2008
Mailing address150 Taylor Station Rd, Suite 250, Columbus, OH 43213

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