DERMATOLOGY ASSOCIATES OF INDY LLC (NPI# 1770959520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770959520 |
Entity Type | Organization |
Organization Name | DERMATOLOGY ASSOCIATES OF INDY LLC |
Practice Address |
1700 W Smith Valley Rd Ste. B Greenwood IN 46142-1599 |
Mailing Address |
6966 S Utica Ave Ste. 225 Tulsa OK 74136-3903 |
Practice Telephone | 8554926333 |
Practice Fax Number | 9184939405 |
Mailing Telephone | 8554926333 |
Mailing Fax Number | 9184939405 |
Enumeration Date | 2015-08-17 |
Last Update Date | 2015-08-17 |
Authorized Official Name | ROBERT NEVIN (MANAGING PARTNER) |
Authorized Official Telephone | 8554926333 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962808774 | Dermatology Associates of Indy LLC | Dermatology | 1212 Professional Blvd, Evansville, IN 47714-8002 | 2014-11-06 |
Street Address |
1700 W SMITH VALLEY RD STE. B |
City | GREENWOOD |
State | IN |
Zip Code | 46142-1599 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801968235 | Laura Michelle St. John | Registered Nurse | 1700 W Smith Valley Rd, Ste. C-1, Greenwood, IN 46142-1599 | 2006-11-14 |
1730610833 | Park Pediatric Dentistry LLC | Dentist | 1700 W Smith Valley Rd, Suite B1, Greenwood, IN 46142-1599 | 2017-03-21 |
1972891687 | Shank Orthodontics, LLC | Clinic/Center | 1700 W Smith Valley Rd, Suite A-1, Greenwood, IN 46142-1599 | 2011-07-14 |
1447548151 | Stephanie Brooke Shank | Dentist | 1700 W Smith Valley Rd, Suite A-1, Greenwood, IN 46142-1599 | 2011-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
1164046876 | Top Dental Care LLC | Dentist | 41 N. Madison Ave, Greenwood, IN 46142 | 2020-05-29 |
1467956201 | Gerth Counseling | Social Worker | 386 Meridian Parke Lane, Suit B, Greenwood, IN 46142 | 2018-03-19 |
1588019988 | Jessica Lynn Osborne | Speech-Language Pathologist | 1701 Library Park Blvd, Greenwood, IN 46142 | 2016-05-04 |
1417301359 | John Thomas Ferguson Jr. | Marriage & Family Therapist | 3209 W Smith Valley Road, #225, Indianapolis, IN 46142 | 2016-04-18 |
1982065132 | Linda Barnes | Occupational Therapist | 124 Hawthorne Lane, Greenwood, IN 46142 | 2016-03-16 |
1346611688 | Elisha Cain | Optometrist | 1298 Us-31, Greenwood, IN 46142 | 2015-10-13 |
1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
1164708202 | Greenwood Family Chiropractic, LLC | Chiropractor | 520 N Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
1447536586 | Leanne Nicole Schlueter | Chiropractor | 520 North Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
Find all providers in zip 46142 |
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 |
---|---|---|---|---|
1386107829 | Strausburg Dermatology Group LLC | Dermatology | 92 S Park Blvd, Greenwood, IN 46143-8836 | 2019-04-11 |
1073704920 | Dennis J Doud Md Pa | Dermatology | 435 Epting Ave, Greenwood, SC 29646-4041 | 2007-08-06 |
1063530178 | Indiana Skin Cancer Center PC | Dermatology | 701 East County Line Rd, Ste 208, Greenwood, IN 46143 | 2007-03-27 |
1164580973 | Michael Edward Murphy | Dermatology | 701 E. County Line Road, Suite 208, Greenwood, IN 46143-1050 | 2006-12-05 |
1942594031 | Camille Mason Md Pa | Dermatology | 435 Epting Ave, Greenwood, SC 29646-4041 | 2011-06-06 |
1174797443 | Stitle Dermatology, LLC | Dermatology | 53 South Park Blvd, Greenwood, IN 46143 | 2008-04-17 |
1285808550 | Greenwood Dermatology PC | Dermatology | 53 South Park Blvd, Greenwood, IN 46143 | 2008-04-17 |
1457446247 | Laura T Stitle | Dermatology | 53 South Park Blvd, Greenwood, IN 46143 | 2006-10-04 |
1942303151 | Thomas J Eads | Dermatology | 53 South Park Blvd, Greenwood, IN 46143 | 2006-09-06 |
1841309754 | Ryan K Brashear | Dermatology | 533 E County Line Rd, #203, Greenwood, IN 46143-1073 | 2006-08-30 |
Find all providers in GREENWOOD |
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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.