Organization Active NPI

Dermplus

  • Dermatology Physician
  • Evansville, IN
National Provider Identifier
1477227361
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMPLUS
Practice address
999 S. Kenmore
Ste a
Evansville, IN 47714
Phone
(812) 477-9495
Fax
(812) 477-0134
NPI assigned
Aug 4, 2021
Organization subpart
Yes
Parent organization
DERMPLUSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Edwin E Kasha, MDNPI 1932108503
Title
MD/Owner
Phone
(812) 477-9495

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

999 S. Kenmore
Ste a
Evansville, IN 47714

Mailing address

999 S. Kenmore
Ste a
Evansville, IN 47714
Phone (812) 477-9495

National Provider Directory

National Provider Directory
Part of
Dermplus

Locations

999 S Kenmore Dr
#A
Evansville, IN 47714
Phone (812) 477-9495

Practitioners & affiliated clinicians

Practitioners 2

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": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1477227361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 S. KENMORE",
            "address_2": "STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47714",
            "telephone_number": "812-477-9495",
            "fax_number": "812-477-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 S. KENMORE",
            "address_2": "STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47714",
            "telephone_number": "812-477-9495",
            "fax_number": "812-477-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMPLUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DERMPLUS",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "KASHA",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "812-477-9495",
        "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": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.