Skin Solutions

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

SKIN SOLUTIONS

Practice address

2510 Sandcrest Blvd
Suite 100
Columbus, IN 47203-3047

Phone

(812) 348-1000

NPI assigned

Apr 13, 2007

Last updated

Aug 22, 2020By 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

Dr. Eduardo Gabriel Rivera, M.D.

Title

Owner

Phone

(812) 348-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Madison Dermatology Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326263799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 SANDCREST BLVD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033047",
            "telephone_number": "812-348-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 SANDCREST BLVD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033047",
            "telephone_number": "812-348-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-348-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "065504",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Dermatology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Procedural Dermatology Physician in Columbus, IN
• Providers in Columbus, IN by specialty
• Procedural Dermatology Physician in Indiana

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.