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

Christ John Ticoras, MD

Individual provider Dermatology Physician · NPI 1821099615

Christ John Ticoras, MD is a Dermatology in Mansfield, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 1991, 35 years ago. Practices with Aqua Dermatology of Florida, PA, a 184-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
35
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

770 Balgreen Dr Ste 201
Mansfield, OH 44906-4106
Phone: (419) 756-1600
Fax: (419) 775-1196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 35-06-3717T (OH)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 35-06-3717T (OH)

Record details

NPI number1821099615
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 3, 2005
Last updated in NPPESJune 22, 2010
Mailing address770 Balgreen Dr, Ste 201, Mansfield, OH 44906-4106

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Aqua Dermatology Of Florida, Pa — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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