DERMATOLOGY SPECIALISTS, PSC
NPI 1013069301
Dermatology in Louisville, KY

Active since January 17, 2007
501 S 2ND ST, FIRST FLOOR, LOUISVILLE, KY 40202(502) 583-7546(502) 589-3429 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology Specialists, Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY SPECIALISTS, PSC (NPI 1013069301) is a healthcare organization registered as a dermatology in Louisville, Kentucky and active in the NPI registry since January 2007. The organization lists J. Mark Jackson, Partner, as its authorized official.

NPPES Registry Identity

NPI1013069301
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY SPECIALISTS, PSC
Location Address501 S 2ND ST, FIRST FLOORLouisville, KY 40202-2862
Mailing Address501 S 2nd St, First FloorLouisville, KY 40202-2862 · (502) 583-7546 · Fax (502) 589-3429
Fax(502) 589-3429
Organization SubpartNo
Authorized OfficialJ. Mark JacksonPartner · (502) 583-7546
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJanuary 17, 2014
NPI 1013069301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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 additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedSpecialistTaxonomy 174400000X
501 S 2ND ST, Louisville, KY 40202

Other Identifiers 8

Medicare PIN265290IN
Medicare PIN195060IN
Other1052384KY · Passport
OtherCA7485Rrr Medicare
Other2433273000KY · Passport Advantage
Medicaid200044790BIN
Medicare PIN3813KY
Medicare PIN330630IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
501 S 2ND ST
LOUISVILLE, KY 40202
Nurse Practitioner
501 S 2ND ST
LOUISVILLE, KY 40202
Physician Assistant (Medical)
501 S 2ND ST
LOUISVILLE, KY 40202
Dermatology
501 S 2ND ST
LOUISVILLE, KY 40202
Dermatology
501 S 2ND ST
LOUISVILLE, KY 40202
Dermatology
501 S 2ND ST
LOUISVILLE, KY 40202
Nurse Practitioner
501 S 2ND ST
LOUISVILLE, KY 40202
Dermatology
501 S 2ND ST
LOUISVILLE, KY 40202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Specialists, Psc's NPI number?

The NPI number for Dermatology Specialists, Psc is 1013069301. It was assigned to this organization in the NPPES registry on January 17, 2007.

Where is Dermatology Specialists, Psc located?

Dermatology Specialists, Psc is located at 501 S 2nd St First Floor, Louisville, KY 40202. The listed phone number is (502) 583-7546.

What is Dermatology Specialists, Psc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Dermatology Specialists, Psc was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.