Gary P Dillon (NPI# 1013923119, PAC ID# 7810957065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1013923119 |
| PAC ID by PECOS | 7810957065 |
| Professional Enrollment ID | I20041013000318 |
| Full Name | Gary P Dillon |
| Organization Legal Name | FORT WAYNE DERMATOLOGY CONS. INC. |
| Address |
7881 Carnegie Blvd Fort Wayne IN 46804-5792 |
| Phone Number | 2604368000 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | PATHOLOGY |
| Group Practice PAC ID | 0042299885 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 | 2604232675 | FORT WAYNE MEDICAL EDUCATION PROGRAM |
| 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 | 2604368000 | FORT WAYNE DERMATOLOGY CONS. INC. |
| Organization Legal Name | FORT WAYNE DERMATOLOGY CONS. INC. |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Hobbs | Dermatology | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Pamela S Shoda | Nurse Practitioner | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Diane Marie Hentz | Dermatology | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Laura B Baker | Nurse Practitioner | Fort Wayne Dermatology Cons. Inc. | 815 High St, Decatur, IN 46733-2351 |
| Benjamin Giarmo | Nurse Practitioner | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Edward C Sarkisian | Dermatology | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Hany Ahmed Salaheldin Hussein Osman | Pathology | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Diane M. Bernardi | Dermatology | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Nicole M Helsom | Physician Assistant | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Preston Alden Gardner | Plastic and Reconstructive Surgery | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Street Address |
7881 CARNEGIE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip | 46804-5792 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Hobbs | Dermatology | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Pamela S Shoda | Nurse Practitioner | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Diane Marie Hentz | Dermatology | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Benjamin Giarmo | Nurse Practitioner | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Edward C Sarkisian | Dermatology | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Hany Ahmed Salaheldin Hussein Osman | Pathology | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Diane M. Bernardi | Dermatology | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Nicole M Helsom | Physician Assistant | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Preston Alden Gardner | Plastic and Reconstructive Surgery | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Thomas W Mcgovern | Dermatology | Fort Wayne Dermatology Cons. Inc. | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Griffith | Speech Language Pathologist | 6205 Constitution Dr, Fort Wayne, IN 46804-1517 | |
| Michael Scherbinski | Clinical Psychologist | Prometheus Psychological Services | 6229 Constitution Dr, Fort Wayne, IN 46804-1517 |
| Jessie Whiteman | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Monique L M Levesque-hartle | Chiropractic | Allen County Chiropractic LLC | 6320 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Amy Harmeyer | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Casey Peterson | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Ashley Brown | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Nicholas Hammond | Physician Assistant | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Barbara L Starry | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Rochelle L Johnson | Nurse Practitioner | Rounding Providers | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Find all physicians in zip 46804 | |||
| City | FORT WAYNE |
| Zip Code | 46804 |
| Specialty | DERMATOLOGY |
| City + Specialty | FORT WAYNE + DERMATOLOGY |
Please comment or provide details below to improve the information on Gary P Dillon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.