BEAVERCREEK DERMATOLOGY LLC – Nurse Practitioner, NPI 1265535140

BEAVERCREEK DERMATOLOGY LLC is a healthcare provider. based in Beavercreek, Ohio. specializing in Nurse Practitioner. The NPI Number for BEAVERCREEK DERMATOLOGY LLC is 1265535140

Main info

Organization
Name
BEAVERCREEK DERMATOLOGY LLC
NPI
1265535140
Phone
(937) 427-4600
Address
3572 DAYTON-XENIA RD
Authorized Official
DR. KATHRYN V BALAZS PRACTICE OWNER PHYSICIAN DO
Enumeration Date
6 September 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for BEAVERCREEK DERMATOLOGY LLC

  • Beavercreek Executive Center, 3572, Dayton-Xenia Road, Knollwood, Beavercreek, Greene County, Ohio, 45432, United States

    SUITE 105

    BEAVERCREEK, OH 454322838

    Phone: (937) 427-4600

    Fax: (937) 427-4520

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45432)

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Reviews

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Frequently asked questions

How is BEAVERCREEK DERMATOLOGY LLC identified in CMS data?
CMS-hosted NPPES data lists BEAVERCREEK DERMATOLOGY LLC with NPI 1265535140.
Does CMS list BEAVERCREEK DERMATOLOGY LLC as active?
Yes — BEAVERCREEK DERMATOLOGY LLC is active in the NPI listing used on this page.
What is BEAVERCREEK DERMATOLOGY LLC best known for clinically?
Directory data describes BEAVERCREEK DERMATOLOGY LLC with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does BEAVERCREEK DERMATOLOGY LLC serve?
BEAVERCREEK DERMATOLOGY LLC's listing highlights Beavercreek, Ohio; more addresses can appear in NPPES.
Why does BEAVERCREEK DERMATOLOGY LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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