GARY P DILLON


Address: 1500 Salem St, Lafayette, IN 47904-2164
Phone: 7654488000

GARY P DILLON (NPI# 1013923119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013923119
Entity Type Individual
Full Name GARY P DILLON
Credential MD
Practice Address 1500 Salem St
Lafayette
IN 47904-2164
Mailing Address Po Box 5545
Lafayette
IN 47903-5545
Practice Telephone 7654488000
Practice Fax Number 7654487029
Mailing Telephone 7654488000
Enumeration Date 2006-07-31
Last Update Date 2013-10-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0900X Dermatology
Specialization: Dermatopathology
01024462A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100340440 05
IN ANTHEM PROVIDER PIN / TIN 35-2030653 000000705135 01
IN ANTHEM 000000340592 01

Other Providers GARY DILLON

NPI Name Taxonomy Address Enumeration
1679109714 Gary L Dillon Jr. Psychologist 137 E 25th St, New York, NY 10010-2314 2020-03-20
1013987163 Gary Duayne Dillon Chiropractor 5936 Swanson Dr, Ashland, KY 41102-7205 2006-01-23

Office Location

Street Address 1500 SALEM ST
City LAFAYETTE
State IN
Zip Code 47904-2164

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568448876 Tamara Loewen Hazbun Emergency Medicine 1500 Salem St, Lafayette, IN 47904-2164 2005-12-19
1801246467 Jacqulyn Burgess Registered Nurse 1500 Salem St, Lafayette, IN 47904-2164 2016-06-15
1942656186 Amanda Dehne Registered Nurse 1500 Salem St, Lafayette, IN 47904-2164 2016-05-06
1134527807 Rebecca J Hauck Registered Nurse 1500 Salem St, Lafayette, IN 47904-2164 2014-12-12
1679977128 Michael E Criswell Clinical Nurse Specialist 1500 Salem St, Lafayette, IN 47904-2164 2014-10-13
1962840785 Amy Sue Mclaughlin Registered Nurse 1500 Salem St, Lafayette, IN 47904-2164 2013-06-14
1487920310 Laurie L Lebegue Specialist/Technologist, Other 1500 Salem St, Lafayette, IN 47904-2164 2012-03-26
1356659403 Leslie Anne Bentinganan Family Medicine 1500 Salem St, Lafayette, IN 47904-2164 2010-09-22
1154598563 Tasbirul Islam Internal Medicine 1500 Salem St, Lafayette, IN 47904-2164 2008-05-14
1346413713 Leslie E Harshman Specialist/Technologist, Other 1500 Salem St, Lafayette, IN 47904-2164 2008-04-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568998615 Angela Hands Physical Therapy Assistant 1260 North 17th Street, Lafayette, IN 47904 2017-05-11
1366894164 Kathryn Barnett Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904 2016-07-06
1881972917 Rest Assured, LLC Durable Medical Equipment & Medical Supplies 180 Professional Ct., Lafayette, IN 47904 2011-07-22
1144514233 Michelle Cristin Singleton Dietitian, Registered 508 N 26th St, Lafayette, IN 47904 2011-06-06
1912134438 Jean D Trammel Marriage & Family Therapist 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 2009-06-11
1902946056 Terry Richard Baker Optometrist 2300 Sagamore Parkway S, Lafayette, IN 47904 2007-02-07
1891862165 Becki A Bowditch Inc Social Worker 2201 Ferry Street, Lafayette, IN 47904 2006-11-29
1326121849 James Lowell Thomas Pediatrics 2300 Ferry St, Lafayette, IN 47904 2006-10-21
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1255428801 Lynn Arlen Pestle Dentist 2550 Elmwood Avenue, Lafayette, IN 47904 2006-10-06
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Taxonomy Information

Taxonomy Code 207ND0900X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467644344 L. J. Buckel Md Inc Dermatology 53 S Park Blvd, Greenwood, IN 46143-8839 2007-08-14
1811090939 Larry J Buckel Dermatology 53 South Park Blvd, Greenwood, IN 46143 2006-09-06
1497105191 Indyderm LLC Dermatology 8936 Southpointe Dr, Suite B2, Indianapolis, IN 46227-7507 2016-06-14
1609169671 Dermatology Center of Northwest Indiana LLC Dermatology 70 W 94th Pl, Crown Point, IN 46307-1710 2011-05-24
1790928497 Emily Catherine Keller Dermatology 8936 Southpointe Dr, Suite B2, Indianapolis, IN 46227-7507 2009-04-09
1659443471 Robert M Hurwitz Dermatology 9292 N Meridian St, Suite 210, Indianapolis, IN 46260-1828 2006-11-15
1710068796 Ingrida Iveta Ozols Dermatology 6820 Parkdale Place, Suite 211, Indianapolis, IN 46254-6600 2006-10-18
1306933858 Mary Coffey Greist Dermatology 6820 Parkdale Place, Suite 211, Indianapolis, IN 46254-6600 2006-10-06

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City LAFAYETTE
Zip Code 47904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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