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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
01024462A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100340440 | 05 | |
IN | ANTHEM PROVIDER PIN / TIN 35-2030653 | 000000705135 | 01 |
IN | ANTHEM | 000000340592 | 01 |
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 |
Street Address |
1500 SALEM ST |
City | LAFAYETTE |
State | IN |
Zip Code | 47904-2164 |
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 |
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 |
Find all providers in zip 47904 |
Taxonomy Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
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. |
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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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.