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DERMATOLOGY SPECIALISTS PSC NPI 1013069301


NPI Information

NPI: 1013069301
Provider Name: DERMATOLOGY SPECIALISTS, PSC
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
501 S 2ND ST
FIRST FLOOR
LOUISVILLE, KY
ZIP 40202
Phone: (502) 583-7546
Get Directions

DERMATOLOGY SPECIALISTS, PSC is a dermatology in Louisville, KY. The provider is 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. DERMATOLOGY SPECIALISTS, PSC NPI is 1013069301. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

501 S 2ND ST
FIRST FLOOR
LOUISVILLE, KY
ZIP 40202-862
Phone: (502) 583-7546
Fax: (502) 589-3429

The provider's authorized official is J. Mark Jackson .
The authorized official title is Partner and has the following contact phone number (502) 583-7546.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 1/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2207N00000XDermatologyKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1265290MEDICARE PININDIANA
2195060MEDICARE PININDIANA
31052384OTHERKENTUCKYPASSPORT
4CA7485OTHERRRR MEDICARE
52433273000OTHERKENTUCKYPASSPORT ADVANTAGE
6200044790BMEDICAIDINDIANA
73813MEDICARE PINKENTUCKY
8330630MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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