| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1063564664 | EASTSIDE DERMATOLOGY, INC. | 150 TAYLOR STATION RD | COLUMBUS | OH | 43213 | |||
| 1528404886 | INTEGRATED DERMATOLOGY OF COLUMBUS LLC | 4700 EXCHANGE CT STE 110 | BOCA RATON | FL | 334314450 | |||
| 1740438423 | BOGUCKI | BENJAMIN | A | 150 TAYLOR STATION RD | COLUMBUS | OH | 432134440 | |
| 1598751653 | PARKS | ALAN | J | 150 TAYLOR STATION RD | COLUMBUS | OH | 432134440 |