Organization Active NPI

Dermio Surgery Center

  • MOHS-Micrographic Surgery Physician
  • Munster, IN
National Provider Identifier
1346072139
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
DERMIO SURGERY CENTER
Practice address
9200 Calumet Ave Ste 203
Munster, IN 46321-2885
Phone
(219) 228-4200
Fax
(844) 965-9457
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Arman D Soleymani, MDNPI 1740203819
Title
Owner
Phone
(773) 580-4224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X Primary

Addresses

Primary practice location

9200 Calumet Ave Ste 203
Munster, IN 46321-2885

Mailing address

9200 Calumet Ave Ste 203
Munster, IN 46321-2885
Phone (219) 228-4200

Other practice location 1

14785 W 101st Ave
Dyer, IN 46311-3371
Phone (219) 228-4200

Other practice location 2

11005 Broadway
Suite A
Crown Point, IN 46307
Phone (219) 228-4200

Other practice location 3

1351 Silhavy Rd Ste 100
Valparaiso, IN 46383-9583
Phone (219) 228-4200

National Provider Directory

National Provider Directory

Locations

11005 Broadway
Ste A
Crown Point, IN 46307
Phone (219) 228-4200

9200 Calumet Ave
Ste 203
Munster, IN 46321
Phone (219) 228-4200

1351 Silhavy Rd
Ste 100
Valparaiso, IN 46383
Phone (219) 228-4200

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1346072139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE STE 203",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "219-228-4200",
            "fax_number": "844-965-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE STE 203",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "219-228-4200",
            "fax_number": "844-965-9457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14785 W 101st Ave",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "463113371",
            "country_code": "US",
            "telephone_number": "219-228-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11005 Broadway",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "46307",
            "country_code": "US",
            "telephone_number": "219-228-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1351 Silhavy Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463839583",
            "country_code": "US",
            "telephone_number": "219-228-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERMIO SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "SOLEYMANI",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-580-4224",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.