Dermatology Specialists of Northern Kentucky PSC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY SPECIALISTS OF NORTHERN KENTUCKY PSC

Practice address

215A Thomas More Pkwy
Crestview Hills, KY 41017-3498

Phone

(859) 341-9588

Fax

(859) 341-0078

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Stephanie A Snyder, MDNPI 1083664072

Title

President

Phone

(859) 341-9588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

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

• Stephanie Ann Snyder, MD

  • Dermatology Physician
  • Crestview Hills, KY
  • NPI 1083664072
  Medicare reassignment Care Compare group Authorized official
• Sarah Eilerman Weinel, M.D.

  • Dermatology Physician
  • Crestview Hills, KY
  • NPI 1194866715
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1427007236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 THOMAS MORE PKWY STE A",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173498",
            "telephone_number": "859-341-9588",
            "fax_number": "859-341-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215A THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173498",
            "telephone_number": "859-341-9588",
            "fax_number": "859-341-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SPECIALISTS OF NORTHERN KENTUCKY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-341-9588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Carol Davis, LCSW
• Carolyn Day, APRN
• William D Debuys, M.D.
• Mark H. Deis, M.D.
• Kimberly Deringer, MD
• Neil D B Desoyza, MD
• Christian Andrew Dewan
• Jennifer Kay Dieman, MED, LPCC
• Caitlin Dinardo
• Katelyn Dolbec, MBBS

• Dermatology Physician in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.