DERMATOLOGY ASSOCIATES, P.C. (NPI# 1639483704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639483704 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY ASSOCIATES, P.C. |
| Practice Address |
931 E 86th St Suite 104 Indianapolis IN 46240-1860 |
| Practice Telephone | 3172571484 |
| Practice Fax Number | 3172571488 |
| Mailing Telephone | 3172571484 |
| Mailing Fax Number | 3172571488 |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | DR. SONYA FURNAE CAMPBELL JOHNSON (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 3172571484 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01049424 | IN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033390695 | Dermatology Associates, P.C. | Dermatology | 110 Irving St Nw # 2b28, Washington, DC 20010-3017 | 2007-11-23 |
| 1821273681 | Dermatology Associates, P.C. | Dermatology | 4133 30th Ave S Ste 101, Fargo, ND 58104 | 2007-12-29 |
| 1407058324 | Dermatology Associates, P.C. | Dermatology | 3201 W Peoria Ave, Suite C-600, Phoenix, AZ 85029-4608 | 2007-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | DERMATOLOGY ASSOCIATES, P.C. | 95 Chapel St., Norwood, MA 02062 |
| Oregon Corporations, Companies and Business Names | DERMATOLOGY ASSOCIATES, P.C. | 10215 Sw Hall Blvd, Tigard, OR 97223 |
| Iowa Business Entities | DERMATOLOGY ASSOCIATES, P.C. | 3812 Pheasant Lane, Waterloo, IA 50701 |
| Street Address |
931 E 86TH ST SUITE 104 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46240-1860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831169036 | Sonya Furnae Campbell Johnson | Dermatology | 931 E 86th St, Suite 104, Indianapolis, IN 46240-1860 | 2006-01-23 |
| 1013353051 | Counseling Associates | Counselor | 931 E 86th St, Ste. 101, Indianapolis, IN 46240-1860 | 2013-05-17 |
| 1417239591 | Pamela Wall | Physician Assistant | 931 E 86th St, Suite 104, Indianapolis, IN 46240-1860 | 2011-09-14 |
| 1750685731 | Ty Campbell Dds, LLC | Dentist | 931 E 86th St, Suite 207, Indianapolis, IN 46240-1860 | 2011-01-05 |
| 1750419404 | Tyrus W Campbell | Dentist | 931 E 86th St, Suite 207, Indianapolis, IN 46240-1860 | 2007-03-02 |
| 1235282914 | Cynthia Marie Ragsdale | Counselor | 931 E 86th St, Ste. 101, Indianapolis, IN 46240-1860 | 2007-01-18 |
| 1598825648 | Lois J Bushong | Marriage & Family Therapist | 931 E 86th St, Suite 101, Indianapolis, IN 46240-1860 | 2006-12-11 |
| 1023061686 | Heartland Hospice Services LLC | Hospice Care, Community Based | 931 E 86th St, Suite 208, Indianapolis, IN 46240-1852 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1720507999 | Refractive Surgery Professionals LLC | Clinic/Center | 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 | 2017-09-19 |
| 1184148892 | Hannah Hoyt | Specialist/Technologist | 9504 N. Washington Blvd, Indianapolis, IN 46240 | 2017-08-03 |
| 1134657455 | Donann Kissick | Speech-Language Pathologist | 450 E 96th St., Suite 500, Indianapolis, IN 46240 | 2017-05-31 |
| 1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
| 1871934513 | Kayla Harpenau | Occupational Therapist | 7405 Westfield Blvd, Indianapolis, IN 46240 | 2013-07-10 |
| 1235483835 | Christina Marie Wilson | Nurse Practitioner | 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 | 2012-11-04 |
| 1770850927 | Holly Bergeron | Pharmacist | 1505 E 86th Street, Indianapolis, IN 46240 | 2011-11-16 |
| 1104128214 | Meghan Kyle Fricke | Physician Assistant | 860 E 86th St Ste 4, Indianapolis, IN 46240 | 2010-11-22 |
| 1689901118 | Katherine Jane Russell | Audiologist | 2001 W. 86th St., Indianapolis, IN 46240 | 2009-11-04 |
| Find all providers in zip 46240 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1144708413 | Inject Health, LLC | Specialist | 1833 N Shadeland Ave, Indianapolis, IN 46219-2735 | 2018-07-30 |
| 1053819458 | Denise Michelle Strom | Specialist | 8620 Purdue Rd, Indianapolis, IN 46268-1114 | 2018-01-31 |
| 1487028429 | Binh Nguyen | Specialist | 11022 Tenacious Dr, Indianapolis, IN 46236-9566 | 2015-11-13 |
| 1578930111 | Christina Price | Specialist | 1035 Helen Dr, Indianapolis, IN 46240-3008 | 2015-08-31 |
| 1023494994 | Joachim Wernicke | Specialist | 447 W 91st St, Indianapolis, IN 46260 | 2015-08-03 |
| 1275917031 | Elise Brown | Specialist | 5117 Chatham Pl, Indianapolis, IN 46226-2272 | 2015-07-11 |
| 1134525777 | Ellen M Einterz | Specialist | 6160 N Ewing St, Indianapolis, IN 46220-5147 | 2014-11-10 |
| 1801149687 | Wiriyaporn Ridtitid | Specialist | 550 University Blvd # Uh1634, Indianapolis, IN 46202-5149 | 2012-10-18 |
| 1053687210 | Daniel Connor Drew | Specialist | 7168 Graham Rd, Suite 150, Indianapolis, IN 46250-2686 | 2012-03-31 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46240 |
Please comment or provide details below to improve the information on DERMATOLOGY ASSOCIATES, P.C..
| 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.