Organization Active NPI

Dermatology Physicians, Inc.

  • Dermatology Physician
  • Columbus, IN
National Provider Identifier
1932135241
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY PHYSICIANS, INC.
Practice address
360 Plaza Dr Ste C
Columbus, IN 47201-2960
Phone
(812) 376-9686
Fax
(812) 376-9697
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Michael P. Sheehan, MDNPI 1134388119
Title
President
Phone
(812) 376-9686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

360 Plaza Dr Ste C
Columbus, IN 47201-2960

Mailing address

360 Plaza Dr Ste C
Columbus, IN 47201-2960
Phone (812) 376-9686

Other identifiers 1

IdentifierTypeStateIssuer
100051220MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050209000727 IN Part B Supplier - Clinic/Group Practice 9638120439 Receives reassigned benefits from 4 practitioners
Practice locations: Columbus, IN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0359653Dermatology Physicians Inc360 Plaza Drive Ste C, Columbus, IN 47201Provider-performed microscopyNov 14, 2026

National Provider Directory

National Provider Directory

Locations

720 N Lincoln St
Fl 1
Greensburg, IN 47240
Phone (800) 964-9344

326 W Bruce St
Seymour, IN 47274
Phone (812) 376-3071

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1932135241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 PLAZA DR STE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012960",
            "telephone_number": "812-376-9686",
            "fax_number": "812-376-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PLAZA DR STE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012960",
            "telephone_number": "812-376-9686",
            "fax_number": "812-376-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-376-9686",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100051220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.