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INDIANA SKIN CANCER CENTER PC NPI 1063530178


NPI Information

NPI: 1063530178
Provider Name: INDIANA SKIN CANCER CENTER PC
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 15D1067243

Address:
701 EAST COUNTY LINE RD
STE 208
GREENWOOD, IN
ZIP 46143
Phone: (317) 859-8970
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INDIANA SKIN CANCER CENTER PC is a dermatology in Greenwood, IN. 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. INDIANA SKIN CANCER CENTER PC NPI is 1063530178. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

701 EAST COUNTY LINE RD
STE 208
GREENWOOD, IN
ZIP 46143
Phone: (317) 859-8970
Fax: (317) 859-8977

The provider's authorized official is Michael E Murphy .
The authorized official title is Owner and has the following contact phone number (317) 781-3604.

The CLIA number assigned to this NPI record is 15D1067243 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 6/6/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic Surgery01063061AINDIANANo
2207NS0135XDermatologyProcedural Dermatology01063061AINDIANANo
3207N00000XDermatology01063061AINDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000517792OTHERINDIANAANTHEM PROVIDER ID
21164580973OTHERINDIANAINDIVIDUAL NPI NUMBER

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: 5/5/2024

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