Organization
NORTHCOAST DERMATOLOGY ASSOCIATES, INC.
Active
Parent organization
NORTHCOAST DERMATOLOGY ASSOCIATES, INC.
Other names
Northcoast Dermatology
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHCOAST DERMATOLOGY ASSOCIATES, INC.
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
—
0289727
—
OH
01
—
CD6030
RAILROAD MEDICARE
OH
Enumeration date
10/14/2010
Last updated
05/12/2026
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