Physicians Skin Care PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PHYSICIANS SKIN CARE PLLC

Practice address

1169 Eastern Parkway
Suite #2310
Louisville, KY 40217

Phone

(502) 451-9000

Fax

(502) 456-2728

NPI assigned

Dec 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leon Kircik, MD

Title

Owner Sole Proprietor

Phone

(502) 451-9000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• PLLC Other name

Electronic endpoints 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 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsey Morgan Noffsinger, PA-C

  • Physician Assistant
  • Owensboro, KY
  • NPI 1174102107
  NPD
• Patricia C Mader, A.R.N.P.

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1285639005
  NPD (past)
• Emily F. Miller, ARNP

  • Family Nurse Practitioner
  • New Albany, IN
  • NPI 1528396207
  NPD (past)
• Judith L Reese, PA

  • Dermatology Physician
  • Fargo, ND
  • NPI 1932126919
  NPD (past)
• Eduardo G Rivera, M.D.

  • MOHS-Micrographic Surgery Physician
  • Madison, IN
  • NPI 1457428096
  NPD (past)
• Naji H Tawfik, MD, PHD, FRCPC, FAAD

  • Dermatology Physician
  • Evansville, IN
  • NPI 1588732754
  NPD (past)

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1750564530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PARKWAY",
            "address_2": "SUIT #2310",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40217",
            "telephone_number": "502-451-9000",
            "fax_number": "502-456-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PARKWAY",
            "address_2": "SUITE #2310",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40217",
            "telephone_number": "502-451-9000",
            "fax_number": "502-456-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS SKIN CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "KIRCIK",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "OWNER SOLE PROPRIETOR",
        "authorized_official_telephone_number": "502-451-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PALMETT",
            "identifier": "CJ6680",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000216151",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1156019",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Louisville",
            "affiliation": "N",
            "address_1": "1169 Eastern Parkway",
            "address_2": "Suite #2310",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Physicians Health Group of Louisville LLC
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• Physicians Primary Care PLLC
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc

• Dermatology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.