| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1063564664 | EASTSIDE DERMATOLOGY, INC. | 150 TAYLOR STATION RD | COLUMBUS | OH | 43213 | |||
| 1740438423 | BOGUCKI | BENJAMIN | A | 150 TAYLOR STATION RD | COLUMBUS | OH | 432134440 | |
| 1194912717 | CHANDLER | SARA | KAY | 150 TAYLOR STATION RD | COLUMBUS | OH | 432134440 | |
| 1598751653 | PARKS | ALAN | J | 150 TAYLOR STATION RD | COLUMBUS | OH | 432134440 |