DR. REBECCA L BUSHONG (NPI# 1366422099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366422099 |
| Entity Type | Individual |
| Full Name | DR. REBECCA L BUSHONG |
| Credential | M.D. |
| Practice Address |
1601 Lafayette Rd Suite 100 Crawfordsville IN 47933-1032 |
| Practice Telephone | 7653621212 |
| Practice Fax Number | 7653610210 |
| Mailing Telephone | 7653621212 |
| Mailing Fax Number | 7653610210 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2013-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 35050655 | OH | Other Service Providers |
| N | 174400000X | Specialist | 015967 | ME | Other Service Providers |
| Y | 207N00000X | Dermatology | 01036464A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205075868 | Rebecca Murphy Bushong | Case Manager/Care Coordinator | 1372 Cleveland Rd., Lexington, KY 40509 | 2009-02-05 |
| Street Address |
1601 LAFAYETTE RD SUITE 100 |
| City | CRAWFORDSVILLE |
| State | IN |
| Zip Code | 47933-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164771614 | Vincent Ross Smith | Registered Nurse | 1601 Lafayette Rd, Crawfordsville, IN 47933-1032 | 2012-08-30 |
| 1124168380 | Kay K Nannet | Nurse Practitioner | 1601 Lafayette Rd, Ste 100, Crawfordsville, IN 47933-1032 | 2007-02-07 |
| 1932152923 | Spencer Dermatology Associates, LLC | Specialist | 1601 Lafayette Rd, Suite 100, Crawfordsville, IN 47933-1032 | 2006-05-18 |
| 1093770711 | Brett L Spencer | Internal Medicine | 1601 Lafayette Rd, Crawfordsville, IN 47933 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093370454 | Mh Nursing of Indiana, PC | Nurse Practitioner | 600 Sr32 West, Crawfordsville, IN 47933 | 2019-05-01 |
| 1336678192 | Latoyia Cherdise Austin | Nurse Practitioner | 600 Sr 32 West, Crawfordsville, IN 47933 | 2017-06-06 |
| 1154579597 | Crossroads Orthotics & Consultation, Inc. | Prosthetic/Orthotic Supplier | 821 S Washington, Crawfordsville, IN 47933 | 2008-08-27 |
| 1487849063 | Assisted Living Concepts Inc | Assisted Living Facility | 1719 South Elm Street, Crawfordsville, IN 47933 | 2007-09-07 |
| 1912129503 | Stephen W. Rasmussen | Dentist | 1485 S. Grant Ave., Suite B, Crawfordsville, IN 47933 | 2007-05-03 |
| 1932244597 | Stephanie Elaine Ford | Physical Therapist | 402 W Market, Crawfordsville, IN 47933 | 2007-02-21 |
| 1285776906 | Thomas A. Clemens | Optometrist | 1615 U.S. 231 South, Crawfordsville, IN 47933 | 2007-02-12 |
| 1730256819 | Nancy Jane Davis | Social Worker | 468 N Woodland Heights Dr, Crawfordsville, IN 47933 | 2006-11-30 |
| 1881761963 | Jennifer Sue Slavens | Counselor | 468 N Woodland Heights Drive, Crawfordsville, IN 47933 | 2006-11-30 |
| 1639249188 | Regina Lee Endicott | Nurse Practitioner | 4537 S Nucor Rd, Crawfordsville, IN 47933 | 2006-11-09 |
| Find all providers in zip 47933 | ||||
| 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 |
|---|---|---|---|---|
| 1891794525 | Linda V Spencer | Dermatology | 1601 Lafayette Rd Ste 100, Crawfordsville, IN 47933-1032 | 2005-07-15 |
| 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 | CRAWFORDSVILLE |
| Zip Code | 47933 |
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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.