SKIN SOLUTIONS (NPI# 1326263799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326263799 |
| Entity Type | Organization |
| Organization Name | SKIN SOLUTIONS |
| Other Organization Name | MADISON DERMATOLOGY |
| Practice Address |
2510 Sandcrest Blvd Suite 100 Columbus IN 47203-3047 |
| Practice Telephone | 8123481000 |
| Mailing Telephone | 8123481000 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EDUARDO GABRIEL RIVERA (OWNER) |
| Authorized Official Telephone | 8123481000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | SIHO | 065504 | 01 |
| Other Name | Type Code |
|---|---|
| Madison Dermatology | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Skin Solutions by Heidi, LLC | 1449 S Mountain View Road, Castle Rock, CO 80109 |
| Colorado Business Entities | SKIN SOLUTIONS BY SHANNON, LLC | 6231 Buchanon St, Fort Collins, CO 80525 |
| Iowa Business Entities | SKIN SOLUTIONS BY TIFFANY, LLC | 135 North Linden Street, Lamoni, IA 50140 |
| Iowa Business Entities | SKIN SOLUTIONS DERMATOLOGY, PLC | 500 Main St Ste 113, Ames, IA 50010 |
| Colorado Business Entities | Skin Solutions Inc. | 8585 Criterion Dr., #63311, Colorado Springs, CO 80920 |
| Oregon Corporations, Companies and Business Names | SKIN SOLUTIONS LLC | 106 Talent Ave, Talent, OR 97540 |
| Colorado Business Entities | Skin Solutions Medi Spa and laser Anti Aging LLC | 7850 Vance Dr., Suite 185, Arvada, CO 80003 |
| Washington State Corporations | SKIN SOLUTIONS NORTHWEST, INC. | 1700 Seventh Ave Ste 1810, Seattle, WA 97204 |
| Colorado Business Entities | SKIN SOLUTIONS SALON, INC. | 208 Meeker St, Delta, CO 81416 |
| Washington State Corporations | SKIN SOLUTIONS SPA, LLC | 3716 Pacific Ave Ste B, Tacoma, WA 98418-7836 |
| Street Address |
2510 SANDCREST BLVD SUITE 100 |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47203-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1174939680 | Hana Hoffman | Occupational Therapist | 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 | 2014-07-03 |
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1639454606 | Jaime Denise Miller | Physical Therapist | 2625 Foxpointe Dr. 3a, Columbus, IN 47203 | 2011-10-20 |
| 1538443155 | Jessica Paige Laymon | Social Worker | 1680 Whitney Court, Columbus, IN 47203 | 2011-09-30 |
| 1720375124 | Hannah C Burke | Physical Therapist | 2625 Foxpointe Dr, Columbus, IN 47203 | 2011-07-06 |
| 1033419437 | Patricia J. Lisinski | Physician Assistant | 2510 Sandcrest Drive, Columbus, IN 47203 | 2010-11-01 |
| 1245495175 | David Brent Gadberry | Registered Nurse | 2122 Sumpter Trl, Columbus, IN 47203 | 2008-07-21 |
| 1710003231 | Ellen H Rudolph | Dentist | 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 | 2007-03-22 |
| Find all providers in zip 47203 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| 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). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891824108 | Tanda Nichole Lane | Dermatology | 1210 Brookstone Centre Pkwy, Columbus, GA 31904-2954 | 2007-03-04 |
| 1669859047 | Forefront Dermatology, S.c. | Dermatology | 1830 Bethel Rd, Suite C, Columbus, OH 43220 | 2015-05-05 |
| 1750570453 | D. Neal Mastruserio, M.d., LLC | Dermatology | 941 Chatham Ln, Suite 323, Columbus, OH 43221-2416 | 2007-10-18 |
| 1063564664 | Eastside Dermatology, Inc. | Dermatology | 150 Taylor Station Rd, Suite 250, Columbus, OH 43213 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245777994 | Forefront Dermatology, S.c. | Dermatology | 11137 U.S. 52, Brookville, IN 47012 | 2017-01-19 |
| 1679951792 | Forefront Dermatology, S.c. | Dermatology | 911 N Shelby Street, St. Vincent Salem Hospital, Specialty Clinic, Salem, IN 47167 | 2015-05-08 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1982877015 | Photodermic Skin Therapy, LLC | Dermatology | 3833 N Meridian St Ste 10, Indianapolis, IN 46208-4001 | 2008-04-09 |
| 1841273513 | Elizabeth Ann Springer | Dermatology | 1516 119th St, Whiting, IN 46394-1733 | 2005-11-27 |
| 1922003086 | Richard Mason Storm | Dermatology | 622 N Madison Ave, Ste 5, Greenwood, IN 46142-4052 | 2005-06-16 |
| 1093269144 | Forefront Dermatology, S.c. | Dermatology | 1428 N Gardner St, Scottsburg, IN 47170 | 2016-08-06 |
| 1225495435 | Mary E Tisserand Md PC | Dermatology | 3700 Bellemeade Ave, Ste 200, Evansville, IN 47714-0125 | 2016-01-19 |
| 1295107191 | Forefront Dermatology, S.c. | Dermatology | 100 Town Center Rd S Ste C, Mooresville, IN 46158 | 2015-10-30 |
| 1689072613 | Forefront Dermatology, S.c. | Dermatology | 955 N Michigan Ave, Suite 81, Greensburg, IN 47240 | 2014-12-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SKIN SOLUTIONS.
| 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.