Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

50003832A Issued in IN

Legal business name

DERMATOLOGY, PC

Practice address

330 N Wabash Ave
#360
Marion, IN 47342-9999

Phone

(765) 664-3292

Fax

(765) 662-7560

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kristine A. Hess, MD

Title

President

Phone

(765) 664-3292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1538204870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE",
            "address_2": "#360",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522600",
            "telephone_number": "765-664-3292",
            "fax_number": "765-662-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE",
            "address_2": "#360",
            "city": "MARION",
            "state": "IN",
            "postal_code": "473429999",
            "telephone_number": "765-664-3292",
            "fax_number": "765-662-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-664-3292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IN",
            "license": "50003832A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Demarcus
• Lori Ann Denney, P.T.A.
• Megan Marie Denny, DO
• Dental Professionals of Indiana, P.C. (Marion Family Dental Care)
• Jack Derby, OD
• Ashley Jo Derry, RBT-24-375583
• Stephen Lentz Derryberry Jr.
• Gautam Deshpande, PT
• Andrea Lynn Detamore
• Nathaniel Deyoung, PHD

• Dermatology Physician in Marion, IN
• Providers in Marion, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.