FAMILY DERMATOLOGY – NPI #1023409612
Dermatology

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

FAMILY DERMATOLOGY is a dermatologist located in LOUISVILLE, KY. NPPES has assigned the NPI number 1023409612 to FAMILY DERMATOLOGY on February 18, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAMILY DERMATOLOGY” is a dba name, the actual legal business name for this organization is DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0900X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Dermatopathology

The NPI profile was last updated on Sep 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY DERMATOLOGY below.

NPI Profile for
DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC

NPI Number
1023409612
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC
Doing Business As (dba): FAMILY DERMATOLOGY
Primary location
2307 GREENE WAY STE A
LOUISVILLE, KY 40220-4097
Phone: (502) 806-3376 Fax: (502) 495-0156
Mailing address
2307 GREENE WAY STE C
LOUISVILLE, KY 40220-4097
Phone: (502) 806-3376 Fax: (502) 495-0156
Organization Subpart
No
Authorized Official
TJ BURCH
OFFICE MANAGER
Phone: (502) 495-1162
Updated
Certification Date
Sep 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0900X
- Dermatology / Dermatopathology (Primary)
KY
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.