Dermatology Associates, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

01049424 Issued in IN

Legal business name

DERMATOLOGY ASSOCIATES, P.C.

Practice address

931 E 86TH St
Suite 104
Indianapolis, IN 46240-1860

Phone

(317) 257-1484

Fax

(317) 257-1488

NPI assigned

Aug 1, 2010

Last updated

May 2, 2017By 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

Dr. Sonya Furnae Campbell Johnson, M.D.NPI 1831169036

Title

Owner/Physician

Phone

(317) 257-1484

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Sonya Furnae Campbell Johnson, M.D.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1831169036
  Medicare reassignment Care Compare group NPD Authorized official
• Alexandra Pitman, PA-C

  • Physician Assistant
  • Plainfield, IN
  • NPI 1407446784
  Medicare reassignment Care Compare group
• Abigail Elizabeth Casmere

  • Physician Assistant
  • Indianapolis, IN
  • NPI 1053150557
  Medicare reassignment NPD
• Charles Green

  • Physician Assistant
  • Indianapolis, IN
  • NPI 1730907437
  Medicare reassignment NPD
• Eliza Harrison

  • Physician Assistant
  • Pittsburgh, PA
  • NPI 1053204834

  IN

  Medicare reassignment NPD
• Gabrielle Sheaann Weaver, DMS, PA-C

  • Physician Assistant
  • Indianapolis, IN
  • NPI 1881341394
  Medicare reassignment
• Abigail Main, PA

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1982285003
  NPD

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

{
    "created_epoch": "1280620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1639483704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E 86TH ST",
            "address_2": "SUITE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401860",
            "telephone_number": "317-257-1484",
            "fax_number": "317-257-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E 86TH ST",
            "address_2": "SUITE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401860",
            "telephone_number": "317-257-1484",
            "fax_number": "317-257-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-01",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "FURNAE CAMPBELL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "317-257-1484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01049424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Lynn Derbyshire, FNP
• Derek T. Sprunger, MD
• Jenna Deri, MSED
• Andrew John Deridder, NP
• Dermatology Associates of Indiana PC
• Alexa Deroo
• Barbara S Derose, NP
• Tammy Kay Derouin, PHARM. D.
• Latrice Derrick
• Larae Derricote

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.