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Eastside Dermatology, Inc.

Procedural Dermatology Physician in Columbus, OH · enumerated 2007 · authorized official Alan Parks, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063564664

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Registry record

Entity type Organization (Type 2)
Legal business name Eastside Dermatology, Inc.
Other name <Unavail>
Practice address 150 Taylor Station Rd, Suite 250, Columbus, OH, 43213
Fax (614) 863-4450
Enumeration date Jan 17, 2007
Last updated in NPPES Oct 16, 2008

Taxonomy & classification

207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License 35054686 (OH) Primary

Authorized official

Name Alan Parks
Title President

Other identifiers

Identifier Type State Issuer
000000214662 Other OH STEPHANIE COTELL ANTHEM I
1215972484 Other OH YAHNA T SMITH CNP NPI
1598751653 Other OH ALAN PARKS NPI
000000118991 Other OH ALAN PARKS ANTHEM ID
0665856 Medicaid OH -
1922093459 Other OH STEPHANIE COTELL NPI
2285218 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Eastside Dermatology, Inc.?
Eastside Dermatology, Inc. is registered in NPPES as a Procedural Dermatology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-16.