Skin Group Pllc

LBN: Skin Group Pllc
Skin Group Pllc is an health care organization with primary practice located at 2307 River Rd Ste 101 , Louisville KY 40206-5000. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty. Skin Group Pllc can be contacted via phone (502) 583-6647, or through Zax, Robert H via phone (502) 583-6647.

Contact Information

Primary practice address
2307 River Rd Ste 101 Louisville KY 40206-5000
Phone: (502) 583-6647
Fax: (502) 585-4824
Website:
Map and Directions
Authorized official contact:
Name: Zax, Robert H Doctor of Medicine (MD)
Phone: (502) 583-6647

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 25359 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1034 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4440P Kentucky

Profile Details

NPI number 1366564494
LBN Legal business name Skin Group Pllc
DBA Doing business as
Authorized official Zax, Robert H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Feb 18th, 2020 - about 5 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 1366564494 NPPES
Kentucky MEDICAID 78904968
Kentucky Other DA0326
Kentucky Other 18D0934789
Kentucky MEDICAID 65938797

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