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Any MD or DO is authorized to complete the "skin form." The list of approved dermatology practices below is an additional group of practices with mid-level providers (PAs and CNPs) that are also authorized to complete the "skin form."
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| Dermatology Practices including mid-level providers (PA’s and CNP’s) who can see wrestlers on short notice. |
| If your practice would like to be added to this list of approved practices, please contact Tyler Brooks at [email protected] |
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| District |
Practice |
Medical Personnel |
Address |
City |
ST |
ZIP |
Office # |
Cell # |
Emails |
County |
| C |
Ohio State Dermatology Canal Winchester (Monday Only) |
Jennifer Sopkovich |
7901 Diley Road, Suite 205 |
Canal Winchester |
OH |
43110 |
614-293-1707 |
|
[email protected] |
Fairfield County |
| C |
Oakview Dermatology- Canal Winchester |
Chelsea File, PA-C |
6441 Winchester Blvd. |
Canal Winchester |
OH |
43110 |
614-908-1339 |
|
|
Fairfield County |
| C |
Ohio State Dermatology West |
John Trinidad, MD, MPH, FAAD |
1328 Dublin Road |
Columbus |
OH |
43230 |
614-293-1707 |
|
John. [email protected] |
Franklin County |
| C |
Eastside Dermatology and Skincare Center- Columbus |
Benjamin Bogucki, MD Alan Parks, MD Christopher Ney, PA-C |
150 Taylor Station Road, Suite 250 |
Columbus |
OH |
43213 |
614-863-3222 |
|
[email protected] |
Franklin County |
| C |
Ohio State Dermatology East (Tuesday-Thursday) |
Jennifer Sopkovich |
540 Officenter Place, Suite 240 |
Gahanna |
OH |
43230 |
614-293-1707 |
|
[email protected] |
Franklin County |
| C |
Eastside Dermatology and Skincare Center- Hilliard |
Benjamin Bogucki, MD Alan Parks, MD Christopher Ney, PA-C |
4617 Leap Court |
Hilliard |
OH |
43026 |
614-345-0500 |
|
|
Franklin County |
| C |
Moore Family Practice LLC |
William Elder, MD; James Dunnan, MD; Simona Moore, CNP; Sarah Rice, CNP; Jill Hunter, CNP |
206 South Mulberry St |
Mount Vernon |
OH |
43050 |
740-399-3008 |
740-501-4836 |
[email protected] |
Knox County |
| C |
Central Ohio Skin and Cancer- Powell |
|
10212 Sawmill Parkway |
Powell |
OH |
43065 |
614-898-7546 |
|
|
Delaware County |
| C |
Center for Surgical Dermatology |
Ami Sheth, CNP |
428 County Line Rd. W |
Westerville |
OH |
43082 |
614-847-4100 |
|
[email protected] |
Delaware County |
| C |
Ohio Premier Dermatology |
Ramona Sarsama Nixon, DO Eydie Mathews, PA-C |
44 South Kinter Parkway, Suite B |
Subury |
OH |
43074 |
740-965-0855 |
|
[email protected] |
Delaware County |
| C |
Central Ohio Skin and Cancer- Westerville |
Jess Demaria, MD Tom Wenker, MD |
300 Polaris Parkway |
Westerville |
OH |
43082 |
614-898-7546 |
|
|
Delaware County |
| C |
Signature Dermatology |
Marya Cassandra, DO Andrea Constanza, DO Megan Peck, PA-C Julie Wikiera, PA-C |
3853 Trueman Court |
Hilliard |
OH |
43026 |
614-777-1200 |
|
|
Franklin County |
| C |
Dermatologists of Greater Columbus |
Alison Himes, DO |
2065 Stringtown Road |
Grove City |
OH |
43123 |
614-539-1800 |
|
|
Franklin County |
| E |
Oakview Dermatology- Belpre |
Nathan Misel, PA-C |
204 Stone Rd. |
Belpre |
OH |
45174 |
740-423-3080 |
|
|
Washington County |
| NE |
Akron Dermatology |
Eliot N. Mostow, MD, MPH |
566 White Pond Dr., Suite E |
Akron |
OH |
44320 |
330-535-7100 x112 |
|
[email protected] |
Summit County |
| NE |
Trillium Creek Dermatology & Surgery |
Helen M. Torok, MD Meghan Crute, MD Robert Marsico, Sr. MD Francine Johns, PA-C Suzanne Dade, CNP Dana Pilz, PA-C Jordan Goad, PA-C Sarah Michalak, PA-C |
5783 Wooster Pike |
Medina |
OH |
44256 |
330-725-0569 |
|
[email protected] |
Medina County |
| NE |
Trillium Creek Dermatology & Surgery |
Helen M. Torok, MD Meghan Crute, MD Robert Marsico, Sr. MD Francine Johns, PA-C Suzanne Dade, CNP Dana Pilz, PA-C Jordan Goad, PA-C Sarah Michalak, PA-C |
300 Weatherstone Drive, Suite 106 |
Wadsworth |
OH |
44281 |
330-725-0569 |
|
[email protected] |
Wayne County |
| NE |
Trillium Creek Dermatology & Surgery |
Helen M. Torok, MD Meghan Crute, MD Robert Marsico, Sr. MD Francine Johns, PA-C Suzanne Dade, CNP Dana Pilz, PA-C Jordan Goad, PA-C Sarah Michalak, PA-C |
128 East Milltown Road, Suite 208 |
Wooster |
OH |
44691 |
330-725-0569 |
|
[email protected] |
Wayne County |
| NW |
Parkview Physicians Group |
Melissa Williams, MD Holli Zeedyk, NP |
442 West High Street |
Bryan |
OH |
43506 |
419-636-4517 |
|
|
Williams County |
| NW |
Dermatology Partners, Inc. |
Michelle E. Bodie, PA-C |
615 Fulton Street |
Port Clinton |
OH |
43452 |
419-626-6700 |
|
|
Ottawa County |
| NW |
Wheatland Dermatology |
Suzanne Quinter, MD Kimberly Sadler, CNP |
1165 S. Knoxville Avenue, Suite 100 |
Saint Marys |
OH |
45885 |
419-394-3331 |
|
[email protected] |
Auglaize County |
| NW |
Dermatology Partners, Inc. |
Paul Bedocs, DO Renee Ott, CNP |
2500 West Strub Street, Suite 330 |
Sandusky |
OH |
44870 |
419-6262-6700 |
|
[email protected] |
Erie County |
| NW |
Dermatology Toledo |
Craig Burkhart, MD, MPH |
5600 Monroe St., Suite 106B |
Sylvania |
OH |
43560 |
419-885-3403 |
419-466-7244 |
|
Lucas County |
| SE |
Oakview Dermatology- Athens |
Adriana Walsh, PA-C Nathan Misel, PA-C |
2111 East State St. |
Athens |
OH |
45701 |
740-566-4621 |
|
|
Athens County |
| SE |
Roman Family Practice |
Melissa Gargasz, DO Charley Roman, CNP Leslie Stegall, CNP |
1440 Jefferson Street |
Greenfield |
OH |
45123 |
937-981-2880 |
|
[email protected] |
Highland County |
| SE |
Oakview Dermatology- Washington Court House |
Tabatha Melvin, PA-C |
1510 Columbus Ave., Medical Arts Building Suite 320 |
Washington Court House |
OH |
43160 |
740-313-4021 |
|
|
Fayette County |
| SE |
Blodgett Dermatology, Inc. |
Thomas P. Blodgett, MD Kyle M. Curry, NP |
39 Hidden Valley Drive |
Bidwell |
OH |
4514 |
740-446-7623 |
|
[email protected] |
Gallia County |
| SE |
ABC Pediatrics of Ohio |
Lenora Filton, DO.
Ashley Berman, CPNP
|
616 Willard Street |
Washington Court House |
OH |
43160 |
740-335-0886 |
|
[email protected] |
Fayette County |
| SW |
Forefront Dermatology |
Karl Kellawan, MD |
400 N. Main St. |
Centerville |
OH |
45459 |
937-802-2541 |
|
|
Montgomery County |
| SW |
University of Cincinnati College of Medicine |
Brian Adams, MD |
3200 Vine St. |
Cincinnati |
OH |
45220 |
513-861-3100 |
512-475-7630 |
[email protected] |
Hamilton County |
| SW |
Dermatologists of Southwest Ohio |
Matthew Bakos, MD |
5300 Far Hills Ave., Suite 300 |
Dayton |
OH |
45429 |
937-433-7536 |
937-241-3255 |
[email protected] |
Montgomery County |
| SW |
Dayton Skin Care |
Stephanie Collins, COO |
3025 Governors Place Blvd. |
Dayton |
OH |
45409 |
937-293-5567 |
|
[email protected] |
Montgomery County |
| SW |
Dermatology & Skin Care Associations |
Elizabeth A. L. Muennich, MD; Nathan Weir, MD |
5160 Socialville-Foster Road |
Mason |
OH |
45040 |
513-770-3263 |
513-824-5880 |
|
Warren County |
| SW |
Comprehensive Dermatology |
Jennifer Ridge, MD |
210 N. Breiel Blvd. |
Middletown |
OH |
45042 |
513-424-7231 |
|
[email protected] |
Butler County |
| SW |
Oakview Dermatology- Springfield |
Arica Taylor, PA-C |
30 West McCreight Ave., Suite 110 |
Springfield |
OH |
45504 |
937-505-6505 |
|
|
Clark County |
|
SW
|
Midwest Dermatology
|
Michelle Choucair, MD
|
30 Remick Blvd.
|
Springboro
|
OH
|
45066
|
937-619-0222
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Warren County
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SW
|
Midwest Dermatology
|
Michelle Choucair, MD
|
3006 N County Rd 25-A
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Troy
|
OH
|
45373
|
937-339-8426
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Miami County
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