DERMATOLOGY ASSOCIATES OF INDY LLC


Address: 1700 W Smith Valley Rd, Ste. B, Greenwood, IN 46142-1599
Phone: 8554926333

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962808774 Dermatology Associates of Indy LLC Dermatology 1212 Professional Blvd, Evansville, IN 47714-8002 2014-11-06

Office Location

Street Address 1700 W SMITH VALLEY RD
STE. B
City GREENWOOD
State IN
Zip Code 46142-1599

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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City GREENWOOD
Zip Code 46142

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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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