DR. RICHARD MASON STORM M.D. NPI 1922003086

NPI Information

NPI: 1922003086
Provider Name: DR. RICHARD MASON STORM, M.D.
Classification: Dermatology - 207NS0135X
Entity Type: Individual

Specialization: Procedural Dermatology

Address:
622 N MADISON AVE
STE 5
GREENWOOD, IN
ZIP 46142
Phone: (317) 743-8930
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DR. Richard Mason Storm, M.D. is a procedural dermatology dermatology in Greenwood, IN. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. Richard Mason Storm, M.D. NPI is 1922003086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

622 N MADISON AVE
STE 5
GREENWOOD, IN
ZIP 46142-052
Phone: (317) 743-8930
Fax: (317) 743-8937

The enumeration date for this NPI number is 6/16/2005 and was last updated on 11/29/2016.

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
1	207NS0135X	Dermatology	Procedural Dermatology	01029002A	INDIANA	Yes

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
1	B29479	MEDICARE UPIN	INDIANA
2	ST798400	MEDICARE PIN	INDIANA
3	15D0352826	OTHER	INDIANA	CLIA

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

NPI Synchronization or Removal

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