Bloomington Dermatology Clinic in Bloomington - Dermatology
Bloomington Dermatology Clinic - NPI 1003914920
Bloomington Dermatology Clinic is a Dermatology in Bloomington, Indiana. Bloomington Dermatology Clinic practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Bloomington Dermatology Clinic is 1003914920. The last update date is 2020-05-21.
Bloomington Dermatology Clinic's current location address is 2001 E 3rd St, Bloomington, Indiana. You can contact this provider via phone number 8123330398 and fax number 8123330698. The mailing address for Bloomington Dermatology Clinic is 2001 E 3rd St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bloomington Dermatology Clinic |
|---|---|
| Address | 2001 E 3rd St, Bloomington, Indiana |
| Phone Number | 8123330398 |
| Fax Number | 8123330698 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | C.E.O. |
|---|---|
| Authorized Official Name | Wilhelmus M Scott |
| Credentials | M.D. |
| Telephone Number | 8123330398 |
NPI Number Detail
| NPI Number | 1003914920 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2020-05-21 |
Provider Mailing Address Detail
| Address | 2001 E 3rd St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474017890 |
| Phone Number | 8123330398 |
| Fax Number | 8123330698 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 01042083A |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 90314 | IN | ANTHEM | |
| $$$$$$$$$ | SOCIAL SECURITY NUMBER |
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What is the unique identification code assigned to Bloomington Dermatology Clinic by the Centers for Medicare & Medicaid Services?
The Bloomington Dermatology Clinic has been issued the NPI (National Provider Identifier) 1003914920. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is Bloomington Dermatology Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bloomington Dermatology Clinic's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date did Bloomington Dermatology Clinic receive its 1003914920 assignment from the Centers for Medicare & Medicaid Services?
The Bloomington Dermatology Clinic was assigned its 1003914920 on 2006-09-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Bloomington Dermatology Clinic most recently updated or refreshed?
The details pertaining to the Bloomington Dermatology Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-05-21.
As of what date was the information regarding Bloomington Dermatology Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bloomington Dermatology Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-05-21.
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