BOOTH DERMATOLOGY GROUP, PC (NPI# 1346220563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346220563 |
| Entity Type | Organization |
| Organization Name | BOOTH DERMATOLOGY GROUP, PC |
| Practice Address |
12050 N Michigan Rd Zionsville IN 46077-8782 |
| Practice Telephone | 3178482427 |
| Practice Fax Number | 3178482434 |
| Mailing Telephone | 3178482427 |
| Mailing Fax Number | 3178482434 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | DR. SALLY A BOOTH (PRESIDENT) |
| Authorized Official Telephone | 3178482427 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | IN | Allopathic & Osteopathic Physicians |
| Street Address |
12050 N MICHIGAN RD |
| City | ZIONSVILLE |
| State | IN |
| Zip Code | 46077-8782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073967279 | Meghan Carlstedt | Physician Assistant | 12050 N Michigan Rd, Zionsville, IN 46077-8782 | 2016-04-14 |
| 1457392649 | Lucinda A Keller | Family Medicine | 12050 N Michigan Rd, Zionsville, IN 46077-8782 | 2006-06-09 |
| 1962459909 | Healthpointe, Inc | Family Medicine | 12050 N Michigan Rd, Zionsville, IN 46077-8782 | 2006-05-27 |
| 1669452884 | Sally A Booth | Dermatology | 12050 N Michigan Rd, Zionsville, IN 46077-8782 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174029789 | Amelia S Bruner | Family Medicine | 1325 Wood Valley Ct, Zionsville, IN 46077 | 2018-04-03 |
| 1982073078 | Visionelle Eyecare Inc | Clinic/Center | 6618 Whitestown Parkway, Zionsville, IN 46077 | 2015-09-18 |
| 1487065272 | Michael J Gallagher | Family Medicine | 51 N Ford Rd, Zionsville, IN 46077 | 2014-05-14 |
| 1518377381 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6650 Whitestown Parkway, Whitestown, IN 46077 | 2014-05-02 |
| 1962828418 | Gordon Charles Colson | Family Medicine | 6733 Jons Station, Zionsville, IN 46077 | 2014-03-07 |
| 1285977033 | Vivian Cruz Nanagas | Allergy & Immunology | 4400 Weston Pointe Dr Ste 150, Zionsville, IN 46077 | 2013-03-30 |
| 1861643926 | Mark Chandrahant Lakshmanan | Internal Medicine | 1955 Mulsanne Drive, Zionsville, IN 46077 | 2008-10-08 |
| 1275780363 | Sarah S Alexander | Occupational Therapist | 825 West Pine St, Zionsville, IN 46077 | 2008-08-20 |
| 1346405909 | Harold Hibbs | Internal Medicine | 1475 West Oak Street #138, Zionsville, IN 46077 | 2008-07-23 |
| 1548444771 | Christopher C Romas, D.d.s., P.C. | Clinic/Center | 1155 Parkway Dr., Suite 100, Zionsville, IN 46077 | 2007-12-24 |
| Find all providers in zip 46077 | ||||
| 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 |
|---|---|---|---|---|
| 1093876443 | Nancy Lyon Havlik | Dermatology | 55 Brendon Way, Suite 600, Zionsville, IN 46077-1961 | 2006-12-12 |
| 1669452884 | Sally A Booth | Dermatology | 12050 N Michigan Rd, Zionsville, IN 46077-8782 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457998692 | Medovate, LLC | Dermatology | 9305 Calumet Ave Ste A1, Munster, IN 46321-2888 | 2019-12-06 |
| 1386107829 | Strausburg Dermatology Group LLC | Dermatology | 92 S Park Blvd, Greenwood, IN 46143-8836 | 2019-04-11 |
| 1467834127 | Emily W Shelley | Dermatology | 8433 Harcourt Rd Ste 310, Indianapolis, IN 46260-2198 | 2015-06-18 |
| 1396133518 | Forefront Dermatology, S.c. | Dermatology | 188 State Road 129 S. Ste B, Batesville Medical Arts Bldg, Batesville, IN 47006 | 2014-12-23 |
| 1003211392 | Forefront Dermatology, S.c. | Dermatology | 1473 N Gardner St Ste A, C/o Scott Memorial Hospital, Scottsburg, IN 47170 | 2014-10-29 |
| 1639580152 | Nikolajs Perdue | Dermatology | 6820 Parkdale Pl Ste 211, Indianapolis, IN 46254-6600 | 2014-05-19 |
| 1356785778 | Larry Gene Bond | Dermatology | 9637 W. County Rd 200 N., Frankfort, IN 46041 | 2013-04-29 |
| 1093057911 | Matthew Bradley Strausburg | Dermatology | 9292 N Meridian St Ste 210, Indianapolis, IN 46260-1828 | 2013-03-18 |
| 1730430513 | Robert Marshall Weiss | Dermatology | 6017 Benchmark-one, Floyds Knobs, IN 47119-9410 | 2012-09-20 |
| 1346597655 | Franciscan Medical Specialists | Dermatology | 757-45th Street, Ste 201, Munster, IN 46321 | 2012-08-07 |
| Find all providers with the same taxonomy | ||||
| City | ZIONSVILLE |
| Zip Code | 46077 |
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| 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.