Sidney Nathan Indgin, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2007-00385 Issued in NC

Practice address

6750 Carolina Blvd
Clyde, NC 28721-7052

Phone

(828) 627-9616

Fax

(828) 627-9215

NPI assigned

Jun 20, 2005

Last updated

Mar 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skin and Cancer Associates

  • Dermatology Physician
  • Plantation, FL
  • NPI 1740737576
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1639174220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 CAROLINA BLVD",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217052",
            "telephone_number": "828-627-9616",
            "fax_number": "828-627-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 CAROLINA BLVD",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217052",
            "telephone_number": "828-627-9616",
            "fax_number": "828-627-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDGIN",
        "first_name": "SIDNEY",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2007-00385",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 11708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Holmes, MS,RD,LDN
• Hospitality Retreat
• Debera L Huderly, M.D.
• Claire Hug, AUD
• Lawson Zebul Hunley, DO
• Sally Regina Inglesby-Schaefer, CNM
• Interventional Pain Services of Western North Carolina, PLLC
• Vicki W. James, RN
• Richard Allen Jenkins, PTA
• Sylvia Pecyna Jernigan, DDS

• Dermatology Physician in Clyde, NC
• Providers in Clyde, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.