DR. RICHARD MASON STORM (NPI# 1922003086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922003086 |
| Entity Type | Individual |
| Full Name | DR. RICHARD MASON STORM |
| Credential | M.D. |
| Practice Address |
622 N Madison Ave Ste 5 Greenwood IN 46142-4052 |
| Practice Telephone | 3177438930 |
| Practice Fax Number | 3177438937 |
| Mailing Telephone | 3177438930 |
| Mailing Fax Number | 3177438937 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2016-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
01029002A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CLIA | 15D0352826 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083714547 | Richard L Storm | Ophthalmology | 303 E Park Ave, Long Beach, NY 11561 | 2006-09-25 |
| Street Address |
622 N MADISON AVE STE 5 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46142-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972003390 | Sarah Hull | Chiropractor | 622 N Madison Ave, Greenwood, IN 46142-4082 | 2018-02-13 |
| 1538594528 | Storm Chiropractic Clinic LLC | Chiropractor | 622 N Madison Ave, Suite 9, Greenwood, IN 46142-4082 | 2013-09-09 |
| 1669715686 | Kevin Storm | Chiropractor | 622 N Madison Ave, Suite 9, Greenwood, IN 46142-4052 | 2013-03-27 |
| 1205004397 | Dentsmart | Dentist | 622 N Madison Ave, Suite #10, Greenwood, IN 46142-4082 | 2008-02-12 |
| 1811179104 | Greenwood Medical Laboratory, Inc | Clinical Medical Laboratory | 622 N Madison Ave, Greenwood, IN 46142-4082 | 2007-11-29 |
| 1366519746 | Shawn Cabbell | Dentist | 622 N Madison Ave, Suite 10, Greenwood, IN 46142-4052 | 2006-11-29 |
| 1174542443 | Stephen J Tentler | Podiatrist | 622 N Madison Ave, Greenwood, IN 46142-4082 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
| 1164046876 | Top Dental Care LLC | Dentist | 41 N. Madison Ave, Greenwood, IN 46142 | 2020-05-29 |
| 1467956201 | Gerth Counseling | Social Worker | 386 Meridian Parke Lane, Suit B, Greenwood, IN 46142 | 2018-03-19 |
| 1588019988 | Jessica Lynn Osborne | Speech-Language Pathologist | 1701 Library Park Blvd, Greenwood, IN 46142 | 2016-05-04 |
| 1417301359 | John Thomas Ferguson Jr. | Marriage & Family Therapist | 3209 W Smith Valley Road, #225, Indianapolis, IN 46142 | 2016-04-18 |
| 1982065132 | Linda Barnes | Occupational Therapist | 124 Hawthorne Lane, Greenwood, IN 46142 | 2016-03-16 |
| 1346611688 | Elisha Cain | Optometrist | 1298 Us-31, Greenwood, IN 46142 | 2015-10-13 |
| 1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
| 1164708202 | Greenwood Family Chiropractic, LLC | Chiropractor | 520 N Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| 1447536586 | Leanne Nicole Schlueter | Chiropractor | 520 North Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| Find all providers in zip 46142 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245777994 | Forefront Dermatology, S.c. | Dermatology | 11137 U.S. 52, Brookville, IN 47012 | 2017-01-19 |
| 1679951792 | Forefront Dermatology, S.c. | Dermatology | 911 N Shelby Street, St. Vincent Salem Hospital, Specialty Clinic, Salem, IN 47167 | 2015-05-08 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1982877015 | Photodermic Skin Therapy, LLC | Dermatology | 3833 N Meridian St Ste 10, Indianapolis, IN 46208-4001 | 2008-04-09 |
| 1326263799 | Skin Solutions | Dermatology | 2510 Sandcrest Blvd, Suite 100, Columbus, IN 47203-3047 | 2007-04-13 |
| 1841273513 | Elizabeth Ann Springer | Dermatology | 1516 119th St, Whiting, IN 46394-1733 | 2005-11-27 |
| 1093269144 | Forefront Dermatology, S.c. | Dermatology | 1428 N Gardner St, Scottsburg, IN 47170 | 2016-08-06 |
| 1225495435 | Mary E Tisserand Md PC | Dermatology | 3700 Bellemeade Ave, Ste 200, Evansville, IN 47714-0125 | 2016-01-19 |
| 1295107191 | Forefront Dermatology, S.c. | Dermatology | 100 Town Center Rd S Ste C, Mooresville, IN 46158 | 2015-10-30 |
| 1689072613 | Forefront Dermatology, S.c. | Dermatology | 955 N Michigan Ave, Suite 81, Greensburg, IN 47240 | 2014-12-08 |
| 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.