Dawes Fretzin Dermatology Group, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DAWES FRETZIN DERMATOLOGY GROUP, LLC

Practice address

7910 N Shadeland Ave
Indianapolis, IN 46250-2041

Phone

(317) 516-5000

Fax

(317) 516-5146

NPI assigned

Jan 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott Alfred Fretzin, M.D.NPI 1023011244

Title

Member

Phone

(317) 516-5000

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 22

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

• Scott A Fretzin, M.D.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1023011244
  Medicare reassignment Care Compare group NPD Authorized official
• Nicholas B Countryman, M.D.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1538327309
  Medicare reassignment Care Compare group NPD
• Kenneth W Dawes, M.D.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1497758627
  Medicare reassignment Care Compare group NPD
• Michael S Dent, M.D.

  • MOHS-Micrographic Surgery Physician
  • Indianapolis, IN
  • NPI 1881821585

  Dermatology

  Medicare reassignment Care Compare group NPD
• Tori Nicole Diedring, DO

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1033747688

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ann-Marie M. Hyatt, M.D.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1265691232
  Medicare reassignment Care Compare group NPD
• Michael Joseph Isaacs, M.D.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1588013353
  Medicare reassignment Care Compare group NPD
• Jacquelyn O'Donnell, PA-C

  • Physician Assistant
  • Indianapolis, IN
  • NPI 1518402767
  Medicare reassignment Care Compare group NPD
• Kate Oberlin

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1871910893
  Medicare reassignment Care Compare group NPD
• Kathryn Shrift, MD

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1013054394
  Medicare reassignment Care Compare group NPD
• Mary Margaret Spolyar, M.D.

  • Procedural Dermatology Physician
  • Indianapolis, IN
  • NPI 1932169349
  Medicare reassignment Care Compare group NPD
• Priya K Young, MD

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1992757751
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1932188331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502041",
            "telephone_number": "317-516-5000",
            "fax_number": "317-516-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502041",
            "telephone_number": "317-516-5000",
            "fax_number": "317-516-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWES FRETZIN DERMATOLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "FRETZIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-516-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Davison
• Dawalt Family Practice
• Joshua Dawalt, D.O.
• Lisa Dawe
• Dawes Fretzin Clinical Research Group, LLC
• Avery Dawes, MD
• Kenneth W Dawes, M.D.
• Brandi Dawkins, HOME CARE
• Emily J Dawkins, MS RD CD
• Stacy K. Dawkins, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.