MEDICARE: NEO DERMATOLOGY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1487545489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEO DERMATOLOGY, LLC

Provider Business Mailing Address
First Line	:	3700 PARK EAST DR STE 220
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4339
Country	:	US
Telephone Number	:	216-678-9810
Fax Number	:	216-528-9823

Provider Business Practice Location Address
First Line	:	3700 PARK EAST DR STE 220
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4339
Country	:	US
Telephone Number	:	216-678-9810
Fax Number	:	216-678-9810

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MEREDITH REIMER
Credential	:	MD
Telephone Number	:	773-368-4260

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	05/13/2026

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