Organization
NORTHCOAST DERMATOLOGY ASSOCIATES, INC.
Active
Organization
NORTHCOAST DERMATOLOGY ASSOCIATES, INC.
Active
Other names
Northcoast Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL MISTUR MD (DERMATOLOGIST / OWNER)
(216) 524-4009
Entity
Organization
Contact information
Practice address
4807 ROCKSIDE RD STE 100, INDEPENDENCE, OH 44131-2188
(216) 524-4009
(216) 524-7933
Mailing address
4807 ROCKSIDE RD STE 100, INDEPENDENCE, OH 44131-2188
(216) 524-4009
(216) 524-7933
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0271423
—
OH
05
—
0289727
—
OH
01
—
CC5264
RAILROAD MEDICARE-INDEP
OH
01
—
CD6030
RAILROAD MEDICARE SAG
OH
Enumeration date
04/21/2006
Last updated
05/12/2026
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