Associates In Dermatology, Pllc

LBN: Associates In Dermatology, Pllc
Associates In Dermatology, Pllc is an health care organization with primary practice located at 3810 Springhurst Blvd Suite 200, Louisville KY 40241. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Associates In Dermatology, Pllc can be contacted via phone (502) 583-1749, or through Burruss, Jyoti via phone (502) 583-1749.

Contact Information

Primary practice address
3810 Springhurst Blvd Suite 200 Louisville KY 40241
Phone: (502) 583-1749
Fax: (502) 329-8184
Website:
Map and Directions
Authorized official contact:
Name: Burruss, Jyoti Doctor of Medicine (MD)
Phone: (502) 583-1749

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1629083399
LBN Legal business name Associates In Dermatology, Pllc
DBA Doing business as
Authorized official Burruss, Jyoti Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Jul 15th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629083399 NPPES
Indiana MEDICAID 100010640A
Indiana Other 000000059426
Indiana MEDICAID 7100295380
Indiana MEDICAID 65912032

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