ASSOCIATES IN DERMATOLOGY, PLLC (NPI# 1629083399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629083399 |
| Entity Type | Organization |
| Organization Name | ASSOCIATES IN DERMATOLOGY, PLLC |
| Practice Address |
3810 Springhurst Blvd Suite 200 Louisville KY 40241 |
| Mailing Address |
3810 Springhurst Blvd Suite 200 Louisville KY 40241-6100 |
| Practice Telephone | 5025831749 |
| Practice Fax Number | 5023298184 |
| Mailing Telephone | 5025831749 |
| Mailing Fax Number | 5023298184 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | JYOTI BURRUSS (PARTNER) |
| Authorized Official Telephone | 5025831749 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000059426 | 01 |
| IN | 100010640A | 05 | |
| KY | 65912032 | 05 | |
| KY | 7100295380 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 325 W Walnut St Ste 300, Lebanon, KY 400331381 | 5025831749 | 5023298184 |
| 908 Wallace Ave Ste 203, Leitchfield, KY 427541495 | 5025831749 | 5023298184 |
| 10302 Brookridge Village Blvd Ste 102, Louisville, KY 402914475 | 5025831749 | 5023298184 |
| 130 Stonecrest Rd Ste 104, Shelbyville, KY 400658126 | 5025831749 | 5023298184 |
| 2241 Green Valley Rd, New Albany, IN 471504647 | 5025831749 | 5023298184 |
| 3 Audubon Plaza Dr Ste 630, Louisville, KY 402171362 | 5025831749 | 5023298184 |
| 1028 N Dixie Ave Ste 140, Elizabethtown, KY 427012508 | 5025831749 | 5023298184 |
| 1005 E Lewis and Clark Pkwy, Clarksville, IN 471292201 | 5025831749 | 5023298184 |
| 114 Manor Ave Ste 3, Bardstown, KY 400043231 | 5025831749 | 5023298184 |
| 114 Manor Ave, Bardstown, KY 400043230 | 5025831749 | 5023298184 |
| 1028 N Dixie Ave Ste 102, Elizabethtown, KY 427012508 | 5025831749 | 5023298184 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ASSOCIATES IN DERMATOLOGY, PLLC | 3810 Springhurst Blvd, Louisville, KY 40241-6100 |
| Street Address |
3810 SPRINGHURST BLVD SUITE 200 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518971142 | Shannon M. Mcallister | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2006-07-28 |
| 1871025379 | Robert Spaulding | Student in an Organized Health Care Education/Training Program | 3810 Springhurst Blvd, Louisville, KY 40241 | 2017-04-03 |
| 1770946196 | Megan Wetzel | Student in an Organized Health Care Education/Training Program | 3810 Springhurst Blvd, Louisville, KY 40241-6162 | 2016-04-02 |
| 1093173627 | Kathryn A West-pfingston | Nurse Practitioner | 3810 Springhurst Blvd, #200, Louisville, KY 40241 | 2016-02-10 |
| 1457770570 | Laura Taylor | Student in an Organized Health Care Education/Training Program | 3810 Springhurst Blvd, Louisville, KY 40241-6162 | 2014-04-16 |
| 1558650291 | Mark Tye Haeberle | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2011-04-04 |
| 1073837845 | Michael Mccall Jr. | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2010-03-22 |
| 1831326552 | Jonathan David Gambrell | Ophthalmology | 3810 Springhurst Blvd, Louisville, KY 40241-6100 | 2009-06-20 |
| 1346440583 | Thomas Wayne Harper | Ophthalmology | 3810 Springhurst Blvd, Suite 100, Louisville, KY 40241-6100 | 2007-07-24 |
| 1770781254 | Soon Bahrami | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2007-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225423742 | Virginia Nell Kartha | Dermatology | 3810 Springhurst Blvd Ste 20, Louisville, KY 40241-6162 | 2015-04-01 |
| 1851665038 | Shannon England | Dermatology | 13802 Lake Point Cir, #102, Louisville, KY 40223-4219 | 2012-03-06 |
| 1659640878 | George J. Gataky, P.s.c. | Dermatology | 3 Audubon Plaza Dr Ste 630, Louisville, KY 40217-1362 | 2011-12-16 |
| 1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
| 1578745923 | Margaret K Sparks | Dermatology | 10302 Brookridge Village Blvd, Suite 102, Louisville, KY 40291-4475 | 2007-11-28 |
| 1295924520 | Joseph L Thompson Psc | Dermatology | 4010 Dupont Cir Ste 511, Louisville, KY 40207-4888 | 2007-10-23 |
| 1801083431 | Rana Majd Mays | Dermatology | 241 Sears Ave Ste 103, Louisville, KY 40207 | 2007-09-27 |
| 1407972060 | Garrett M Crabtree | Dermatology | 2005 Lake Point Way, Ste 101, Louisville, KY 40223-4236 | 2007-03-22 |
| 1548273733 | Dermatopathology Alliance of Kentucky Pllc | Dermatology | 839 S 2nd St, Louisville, KY 40203-2209 | 2006-08-15 |
| 1518971142 | Shannon M. Mcallister | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2006-07-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
Please comment or provide details below to improve the information on ASSOCIATES IN DERMATOLOGY, PLLC.
| 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.