University Dermatology Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

50003770A Issued in IN

Legal business name

UNIVERSITY DERMATOLOGY CENTER PC

Practice address

2525 W University Ave Ste 402
Muncie, IN 47303-3409

Phone

(765) 747-6090

Fax

(765) 747-5069

NPI assigned

Jan 16, 2007

Last updated

Feb 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Zemtsov, M.D.NPI 1811901184

Title

Owner

Phone

(765) 747-6090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, OH2 enrollments

Enrollment records 2

Locations

Practitioners 18

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.

• Alexander Zemtsov, MD

  • Dermatology Physician
  • Muncie, IN
  • NPI 1811901184
  Medicare reassignment Care Compare group NPD Authorized official
• Julia L Bouse, NP

  • Family Nurse Practitioner
  • Muncie, IN
  • NPI 1649044520
  Medicare reassignment Care Compare group NPD
• John Edward Marvel, MD

  • Radiation Oncology Physician
  • Logansport, IN
  • NPI 1265432173
  Medicare reassignment Care Compare group NPD
• Sarah Nocco, MD

  • Dermatopathology Physician
  • Muncie, IN
  • NPI 1649807280
  Medicare reassignment Care Compare group NPD
• Jeffrey Joseph Wargo, MD

  • MOHS-Micrographic Surgery Physician
  • Richmond, IN
  • NPI 1720217615
  Medicare reassignment Care Compare group NPD
• Lisa Ann Wilson, M.D.

  • Dermatology Physician
  • Muncie, IN
  • NPI 1336223833

  OH

  Medicare reassignment Care Compare group NPD
• David Charles Irwin Feser

  • Nurse Practitioner
  • Dublin, OH
  • NPI 1801534144

  IN

  Medicare reassignment Care Compare group NPD
• Ann Drayton Logan, MD

  • Radiation Oncology Physician
  • Avon, IN
  • NPI 1437244597
  Medicare reassignment Care Compare group
• Robert Alexander Muller, P.A.-C.

  • Specialist
  • Muncie, IN
  • NPI 1053339408
  Medicare reassignment Care Compare group
• Brandy Jo Smith, PA-C

  • Medical Physician Assistant
  • Muncie, IN
  • NPI 1558878702
  Medicare reassignment Care Compare group
• Stephanie L Sullender, PA

  • Physician Assistant
  • Muncie, IN
  • NPI 1437787066

  OH

  Medicare reassignment Care Compare group
• Grace Miller

  • Surgical Physician Assistant
  • Berea, OH
  • NPI 1891456877

  IN

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1578615266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046357",
            "telephone_number": "765-747-6090",
            "fax_number": "765-747-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W UNIVERSITY AVE STE 402",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033409",
            "telephone_number": "765-747-6090",
            "fax_number": "765-747-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DERMATOLOGY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "ZEMTSOV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-747-6090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "50003770A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Umar
• Barbara D Umberger, PHD
• Union Chapel Ministries (Union Chapel Counseling Center)
• Union Chapel Ministries (Union Chapel Counseling Center)
• United Home Health Care LLC (United Home Health Care)
• University Pedorthics
• Eric S Unzicker, M.D.
• Claudia Diane Updike, PH.D.
• Upperline Healthcare PC
• US Therapy Inc (First Choice Physical Therapy)

• Specialist in Muncie, IN
• Providers in Muncie, IN by specialty
• Specialist in Indiana

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