DERMATOLOGY ASSOCIATES OF INDIANA INC (NPI# 1861613564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861613564 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY ASSOCIATES OF INDIANA INC |
| Practice Address |
8433 Harcourt Rd Suite 310 Indianapolis IN 46260-2190 |
| Practice Telephone | 3173389393 |
| Practice Fax Number | 3173389399 |
| Mailing Telephone | 3173389393 |
| Mailing Fax Number | 3173389399 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-04-17 |
| Authorized Official Name | DR. FREDERIC P HIBBELN (OWNER) |
| Authorized Official Telephone | 3173389393 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
8433 HARCOURT RD SUITE 310 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953001 | Melanie A Ladine | Podiatrist | 8433 Harcourt Rd, Suite 210, Indianapolis, IN 46260-2190 | 2005-06-28 |
| 1043708472 | Joseph Ryan Lundberg | Physician Assistant | 8433 Harcourt Rd, Indianapolis, IN 46260-2190 | 2018-05-01 |
| 1114452604 | Sarah Lawson | Nurse Practitioner | 8433 Harcourt Rd, Indianapolis, IN 46260-2190 | 2017-04-22 |
| 1205224433 | Indianapolis Pediatric Dentistry LLC | Dentist | 8433 Harcourt Rd, Suite 307, Indianapolis, IN 46260-2190 | 2014-12-22 |
| 1457691511 | Felicia D Damon | Specialist/Technologist, Other | 8433 Harcourt Rd, Ste 100, Indianapolis, IN 46260-2190 | 2013-02-26 |
| 1518205509 | Ladine Podiatry, PC | Podiatrist | 8433 Harcourt Rd, Suite 210, Indianapolis, IN 46260-2196 | 2013-01-25 |
| 1669716528 | Lauren Pothier | Physician Assistant | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2012-11-16 |
| 1316228042 | Stephanie A Grubb | Specialist/Technologist, Other | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2011-09-08 |
| 1568740223 | St Vincent Medical Group, Inc | Special Hospital | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2011-07-29 |
| 1073891131 | Charles Assue Brown | Perfusionist | 8433 Harcourt Rd, Ste 100, Indianapolis, IN 46260-2190 | 2011-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| 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 |
|---|---|---|---|---|
| 1467834127 | Emily W Shelley | Dermatology | 8433 Harcourt Rd Ste 310, Indianapolis, IN 46260-2198 | 2015-06-18 |
| 1639580152 | Nikolajs Perdue | Dermatology | 6820 Parkdale Pl Ste 211, Indianapolis, IN 46254-6600 | 2014-05-19 |
| 1093057911 | Matthew Bradley Strausburg | Dermatology | 9292 N Meridian St Ste 210, Indianapolis, IN 46260-1828 | 2013-03-18 |
| 1144596628 | Jennifer Croix | Dermatology | 1633 N Capitol Ave Ste 640, Indianapolis, IN 46202-1281 | 2012-03-28 |
| 1689908519 | Sara Leigh Hanson | Dermatology | 8103 Clearvista Pkwy Ste 260, Indianapolis, IN 46256-4697 | 2009-09-24 |
| 1366635310 | August Anthony Natalie | Dermatology | 8325 S Emerson Ave Ste C1, Indianapolis, IN 46237-8559 | 2007-08-23 |
| 1669663852 | John Barry Stephens | Dermatology | 3755 E 82nd St, Suite 75, Indianapolis, IN 46240-7335 | 2007-08-05 |
| 1740307073 | Michael Abrishami | Dermatology | 550 University Blvd # Uh3240, Indianapolis, IN 46202-5149 | 2007-03-23 |
| 1831169036 | Sonya Furnae Campbell Johnson | Dermatology | 931 E 86th St, Suite 104, Indianapolis, IN 46240-1860 | 2006-01-23 |
| 1750380275 | Ginat Wintermeyer Mirowski | Dermatology | 1910 N Arlington Ave, Indianapolis, IN 46218-5128 | 2005-07-18 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on DERMATOLOGY ASSOCIATES OF INDIANA INC.
| 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.