Organization
ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC
Active
Organization
ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC
Active
Other names
ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIST JOHN TICORAS M.D. (OWNER/PRESIDENT)
(419) 756-1600
Entity
Organization
Contact information
Practice address
770 BALGREEN DR, STE 201, MANSFIELD, OH 44906-4106
(419) 756-1600
(419) 775-1196
Mailing address
PO BOX 735056, DALLAS, TX 75373-5056
(419) 756-1600
(419) 775-1196
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
Primary
35063717T
OH
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2251316
—
OH
Enumeration date
07/30/2006
Last updated
08/24/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up