Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dermatology & Surgery of Southern Ohio, Inc

Organization Dermatology Physician · NPI 1952349466

Dermatology & Surgery of Southern Ohio, Inc provides Dermatology Physician services in Fairfield, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1213 Nilles Rd
Fairfield, OH 45014-2911 Not confirmed with CMS for 16 years — call before visiting
Phone: (513) 858-6900
Fax: (513) 858-6903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 35060409 (OH)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 35060409 (OH)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 35060409 (OH)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 35060409 (OH)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 35060409 (OH)

Record details

NPI number1952349466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joni Proft — Office Administrator · (513) 858-6900
NPI enumeratedJune 4, 2006
Last updated in NPPESJuly 20, 2010
Mailing addressPo Box 633048, Cincinnati, OH 45263-3048