Organization Active NPI

Cortese Dermatology, P.C.

  • Dermatology Physician
  • Indianapolis, IN
National Provider Identifier
1154531895
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01020422A Issued in IN
Legal business name
CORTESE DERMATOLOGY, P.C.
Practice address
8921 Southpointe Dr
Suite a-1
Indianapolis, IN 46227-0968
Phone
(317) 780-7400
Fax
(317) 780-7474
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Anthony Cortese Jr., M.D., PH.D.
Title
President
Phone
(317) 780-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 01020422A IN Primary

Addresses

Primary practice location

8921 Southpointe Dr
Suite a-1
Indianapolis, IN 46227-0968

Mailing address

8921 Southpointe Dr
Suite a-1
Indianapolis, IN 46227-0968
Phone (317) 780-7400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154531895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8921 SOUTHPOINTE DR",
            "address_2": "SUITE A-1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270968",
            "telephone_number": "317-780-7400",
            "fax_number": "317-780-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 SOUTHPOINTE DR",
            "address_2": "SUITE A-1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270968",
            "telephone_number": "317-780-7400",
            "fax_number": "317-780-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTESE DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORTESE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-780-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01020422A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.