Provider Demographics
NPI:1285282533
Name:HELIX DERMATOLOGY AND SKIN SURGERY INSTITUTE LLC
Entity type:Organization
Organization Name:HELIX DERMATOLOGY AND SKIN SURGERY INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMIDOVA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:216-794-0004
Mailing Address - Street 1:37045 CHAGRIN BLVD
Mailing Address - Street 2:
Mailing Address - City:MORELAND HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-1238
Mailing Address - Country:US
Mailing Address - Phone:440-804-5996
Mailing Address - Fax:
Practice Address - Street 1:24400 CHAGRIN BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5632
Practice Address - Country:US
Practice Address - Phone:440-804-5996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-29
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty