ADVANCED DERMATOLOGY AND COSMETIC SURGERY LLC (NPI# 1427216365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427216365 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY AND COSMETIC SURGERY LLC |
| Practice Address |
303 S Walnut St Seymour IN 47274-2368 |
| Mailing Address |
Po Box 1077 Seymour IN 47274-1077 |
| Practice Telephone | 8123587705 |
| Mailing Telephone | 8123587705 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2011-08-08 |
| Authorized Official Name | DR. KEVIN MICHAEL CRAWFORD (DERMATOLOGIST) |
| Authorized Official Telephone | 8123587705 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 01063019A | IN | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
01063019A | IN | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
01063019A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
303 S WALNUT ST |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274-2368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578698833 | South Central Indiana Radiology Consultants, P.C. | Specialist | 303 S Walnut St, Suite 201, Seymour, IN 47274-2368 | 2007-02-23 |
| 1831550987 | Ngozi Igboko | Nurse Practitioner | 303 S Walnut St, Seymour, IN 47274-2368 | 2016-03-17 |
| 1659796225 | Forefront Dermatology, S.c. | Dermatology | 303 S Walnut St, Seymour, IN 47274 | 2014-02-19 |
| 1396167300 | Jacqueline Sutton | Nurse Practitioner | 303 S Walnut St, Seymour, IN 47274-2368 | 2014-01-09 |
| 1710316062 | Victoria Bates | Physician Assistant | 303 S Walnut St, Seymour, IN 47274-2368 | 2013-11-07 |
| 1417132911 | Kevin Michael Crawford | Dermatology | 303 S Walnut St, Seymour, IN 47274-2368 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850102 | Alyssa Gorbett | Counselor | 320 Bruce St. Suite C, Seymour, IN 47274 | 2020-10-30 |
| 1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
| 1750886966 | Cassie Hackman | Registered Nurse | 6940 E County Road 50 N, Seymour, IN 47274 | 2018-03-28 |
| 1710327994 | Derek L Garcia | Dentist | 321 W Bruce St Ste A, Seymour, IN 47274 | 2013-07-02 |
| 1922349596 | Lisa Marie Lindsay Snow | Pediatrics | Schneck Pediatrics, 411 West Tipton Street, Seymour, IN 47274 | 2013-03-07 |
| 1750670733 | David Ryan Stone | Internal Medicine | 411 West Tipton Street, Seymour, IN 47274 | 2011-03-30 |
| 1518261254 | Peggy Jo Bowman | Social Worker | 1725 E. Tipton St., Ste 200, Seymour, IN 47274 | 2011-01-10 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1346564390 | Emanuel Eugene Nearing II | Surgery | Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 | 2010-03-19 |
| 1821320870 | Holly Lee Berry | Nurse Practitioner | 120 St. Louis Ave., Seymour, IN 47274 | 2010-02-02 |
| Find all providers in zip 47274 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659796225 | Forefront Dermatology, S.c. | Dermatology | 303 S Walnut St, Seymour, IN 47274 | 2014-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1780137232 | Forefront Dermatology, S.c. | Dermatology | 265 Quartermaster Ct, Jeffersonville, IN 47130 | 2016-08-02 |
| 1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1730560079 | Forefront Dermatology, S.c. | Dermatology | 415 S Landmark Ave, Bloomington, IN 47403-5003 | 2015-06-12 |
| 1295771244 | Carl William Hanke | Dermatology | 8925 N Meridian St Ste 200, Indianapolis, IN 46260-2385 | 2006-06-20 |
| 1821574039 | Michael Kunz | Dermatology | 545 Barnhill Drive, Emerson Hall 139, Indianapolis, IN 46202 | 2018-07-11 |
| 1952769044 | Forefront Dermatology, S.c. | Dermatology | 755 W Carmel Dr, Suite 101, Carmel, IN 46032 | 2016-02-03 |
| 1417335019 | Forefront Dermatology, S.c. | Dermatology | 395 Northside Dr, Batesville, IN 47006 | 2015-05-14 |
| 1235534629 | Forefront Dermatology, S.c. | Dermatology | 8325 S Emerson Ave Ste C1, Indianapolis, IN 46237 | 2014-10-28 |
| Find all providers with the same taxonomy | ||||
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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.