NIKOLAJS PERDUE (NPI# 1639580152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639580152 |
| Entity Type | Individual |
| Full Name | NIKOLAJS PERDUE |
| Credential | M.D. |
| Practice Address |
6820 Parkdale Pl Ste 211 Indianapolis IN 46254-6600 |
| Practice Telephone | 3173297050 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 01080087A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 11017590A | IN | Student, Health Care |
| Street Address |
6820 PARKDALE PL STE 211 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| 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 |
|---|---|---|---|---|
| 1467834127 | Emily W Shelley | Dermatology | 8433 Harcourt Rd Ste 310, Indianapolis, IN 46260-2198 | 2015-06-18 |
| 1093057911 | Matthew Bradley Strausburg | Dermatology | 9292 N Meridian St Ste 210, Indianapolis, IN 46260-1828 | 2013-03-18 |
| 1144596628 | Jennifer Croix | Dermatology | 1633 N Capitol Ave Ste 640, Indianapolis, IN 46202-1281 | 2012-03-28 |
| 1689908519 | Sara Leigh Hanson | Dermatology | 8103 Clearvista Pkwy Ste 260, Indianapolis, IN 46256-4697 | 2009-09-24 |
| 1366635310 | August Anthony Natalie | Dermatology | 8325 S Emerson Ave Ste C1, Indianapolis, IN 46237-8559 | 2007-08-23 |
| 1669663852 | John Barry Stephens | Dermatology | 3755 E 82nd St, Suite 75, Indianapolis, IN 46240-7335 | 2007-08-05 |
| 1740307073 | Michael Abrishami | Dermatology | 550 University Blvd # Uh3240, Indianapolis, IN 46202-5149 | 2007-03-23 |
| 1831169036 | Sonya Furnae Campbell Johnson | Dermatology | 931 E 86th St, Suite 104, Indianapolis, IN 46240-1860 | 2006-01-23 |
| 1750380275 | Ginat Wintermeyer Mirowski | Dermatology | 1910 N Arlington Ave, Indianapolis, IN 46218-5128 | 2005-07-18 |
| 1295733624 | Marc L Frost | Dermatology | 9290 Waldemar Rd, Indianapolis, IN 46268-1132 | 2005-07-10 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
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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.