Indiana Skin Cancer Center PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

01063061A Issued in IN

Legal business name

INDIANA SKIN CANCER CENTER PC

Practice address

701 East County Line Rd
Ste 208
Greenwood, IN 46143

Phone

(317) 859-8970

Fax

(317) 859-8977

NPI assigned

Mar 27, 2007

Last updated

Jun 6, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael E Murphy, MDNPI 1164580973

Title

Owner

Phone

(317) 781-3604

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Edward Murphy, MD

  • MOHS-Micrographic Surgery Physician
  • Greenwood, IN
  • NPI 1164580973

  Dermatology

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1063530178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAMPSHIRE AVE STE 2",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012864",
            "telephone_number": "802-909-2053",
            "fax_number": "330-965-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EAST COUNTY LINE RD",
            "address_2": "STE 208",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "46143",
            "telephone_number": "317-859-8970",
            "fax_number": "317-859-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA SKIN CANCER CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-781-3604",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01063061A",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IN",
            "license": "01063061A",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IN",
            "license": "01063061A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1164580973",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "000000517792",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indiana Group LLC
• Indiana Heart Associates PC
• Indiana Internal Medicine Consultants
• Indiana Internal Medicine Consultants, LLC.
• Indiana Skin Cancer Ambulatory Surgical Center LLC
• Indiana Sleep Center LLC
• Indiana Spine Group, PC
• Indiana University Health Urgent Care Centers, LLC (IU Health Urgent Care Centers, LLC)
• Indiana University Health Urgent Care Centers, LLC. (IU Health Urgent Care LLC)
• Indiana University Health, Inc (Indiana University Health Sleep Apnea Education Center at Greenwood)

• Dermatology Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.