Advanced Dermatology Of North Central Ohio INC
Dermatology, Procedural Dermatology in Mansfield, Ohio
1073528733- Practice location
- 770 Balgreen Dr, Ste 201, Mansfield, OH 44906-4106
- Phone
- 419-756-1600
- Fax
- 419-775-1196
- Last updated
- August 24, 2026
Advanced Dermatology Of North Central Ohio INC is a healthcare organization based in Mansfield, OH. The NPI number for Advanced Dermatology Of North Central Ohio INC is 1073528733 and holds license No. 35063717T (OH). The current practice location address is 770 Balgreen Dr, Ste 201, Mansfield, OH 44906-4106 and the office can be reached by phone at 419-756-1600 and by fax at 419-775-1196. The NPI was assigned on July 30, 2006 and the record was last updated in NPPES on August 24, 2026.
●Provider Profile Details
- NPI Number
- 1073528733
- Provider Name
- Advanced Dermatology Of North Central Ohio INC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Dermatology, Procedural Dermatology · 207NS0135X
- Organization Subpart
- No
- Authorized Official
- Dr. Christ John Ticoras, MD · Owner/President · 419-756-1600
- Enumeration Date
- July 30, 2006
- Last Update Date
- August 24, 2026
- Certification Date
- August 24, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 770 Balgreen Dr
Ste 201
Mansfield, OH 44906-4106 - City
- Mansfield
- State
- Ohio
- ZIP
- 44906-4106
- Country
- US
- Phone Number
- 419-756-1600
- Fax Number
- 419-775-1196
✉Business Mailing Address
- Address
- Po Box 735056
Dallas, TX 75373-5056 - City
- Dallas
- State
- TX
- ZIP
- 75373-5056
- Phone Number
- 419-756-1600
- Fax Number
- 419-775-1196
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dermatology 193400000X - Multiple Single Specialty Group | 207N00000X | No | — | — |
| Dermatology, Procedural Dermatology 193400000X - Multiple Single Specialty Group | 207NS0135X | No | — | — |
| Dermatology, Procedural Dermatology 193400000X - Multiple Single Specialty Group | 207NS0135X | Yes | 35063717T | OH |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Mansfield →?Frequently Asked Questions
What is the NPI number of Advanced Dermatology Of North Central Ohio INC?
The NPI number of Advanced Dermatology Of North Central Ohio INC is 1073528733. It was assigned on July 30, 2006 and is currently active in the NPPES registry.
What is the specialty of Advanced Dermatology Of North Central Ohio INC?
Advanced Dermatology Of North Central Ohio INC is registered under the primary taxonomy Dermatology, Procedural Dermatology (code 207NS0135X) and holds license No. 35063717T (OH).
Where does Advanced Dermatology Of North Central Ohio INC practice?
The practice location is 770 Balgreen Dr, Ste 201, Mansfield, OH 44906-4106. The office can be reached at 419-756-1600 (phone) or 419-775-1196 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073528733 directly on the NPPES registry website at npiregistry.cms.hhs.gov.