Organization Active NPI

Dermatology Center of Indiana PC

  • Dermatology Physician
  • Greenwood, IN
National Provider Identifier
1356096788
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY CENTER OF INDIANA PC
Practice address
2800 S State Road 135 Ste 250
Greenwood, IN 46143-6223
Phone
(317) 203-5884
Fax
(317) 743-8103
NPI assigned
Feb 15, 2022
Organization subpart
Yes
Parent organization
THE DERMATOLOGY CENTER OF INDIANA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Scott Thomas Guenthner, MDNPI 1396748778
Title
MD
Phone
(317) 838-9911

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2800 S State Road 135 Ste 250
Greenwood, IN 46143-6223

Mailing address

2800 S State Road 135 Ste 250
Greenwood, IN 46143-6223
Phone (317) 203-5884

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sguenthner@dermindy.emadirect.md Health Information Exchange (HIE)
Direct Messaging Address sguenthner@dermindy.emadirect.md Health Information Exchange (HIE)

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2159090Dermatology Center of Indiana- Greenwood2800 S State Rd 135, #250, Greenwood, IN 46143Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory
Part of
Dermatology Center PC

Interoperability endpoints

  • Direct secure messaging: sguenthner@dermindy.emadirect.md

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1356096788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S STATE ROAD 135 STE 250",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436223",
            "telephone_number": "317-203-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S STATE ROAD 135 STE 250",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436223",
            "telephone_number": "317-203-5884",
            "fax_number": "317-743-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CENTER OF INDIANA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE DERMATOLOGY CENTER OF INDIANA PC",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "GUENTHNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "317-838-9911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sguenthner@dermindy.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2800 S State Road 135 Ste 250",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461436223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sguenthner@dermindy.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2800 S State Road 135 Ste 250",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461436223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.