Northside Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NORTHSIDE DERMATOLOGY, LLC

Practice address

9865 E 116TH St Ste 200
Fishers, IN 46037-9238

Phone

(317) 849-6600

Fax

(317) 849-6601

NPI assigned

Feb 14, 2006

Last updated

Feb 26, 2020By 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

Christine Kuhn, M.D.NPI 1548248198

Title

Physician/Managing Member

Phone

(317) 849-6600

Specialties & licenses 2

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 1

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.

• Christine A Kuhn, M.D.

  • Dermatology Physician
  • Fishers, IN
  • NPI 1548248198

  Specialist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1710951165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9865 E 116TH ST",
            "address_2": "SUITE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379238",
            "telephone_number": "317-849-6600",
            "fax_number": "317-849-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9865 E 116TH ST STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379238",
            "telephone_number": "317-849-6600",
            "fax_number": "317-849-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "KUHN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PHYSICIAN/MANAGING MEMBER",
        "authorized_official_telephone_number": "317-849-6600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "01055268A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Njeri Njoroge
• Duck Sun Noel
• Riley Lynn Noel
• North Star Pediatrics, P.C.
• Samantha Kaye Northcraft, RBT
• Northside Orthopaedic Center, PC
• Sue Ellyn Nottingham, FNP
• Randa Nouk
• Nami Novak
• Mary Stephanie Liberato Novales, RPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.