FAMILY DERMATOLOGY
NPI 1023409612
Dermatology - Dermatopathology in Louisville, KY

NPI Status: Active since February 18, 2015

Contact Information

2307 GREENE WAY STE A
LOUISVILLE, KY
ZIP 40220
Phone: (502) 806-3376
Fax: (502) 495-0156

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  • Organization
  • Dermatology
  • Dermatopathology
  • CLIA Number: 18D0931856
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 08-06-2027

About FAMILY DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Family Dermatology, a provider established in Louisville, Kentucky operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1023409612 assigned on February 2015. The practitioner's primary taxonomy code is 207ND0900X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Family Dermatology operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Family Dermatology. The authorized official of this NPI record is Mr. Tj Burch (Office Manager)

NPI
1023409612
Provider Legal Name
DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC
Other Organization Name
FAMILY DERMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2307 GREENE WAY STE A LOUISVILLE, KY 40220
Location Phone
(502) 806-3376
Location Fax
(502) 495-0156
Mailing Address
2307 GREENE WAY STE C LOUISVILLE, KY 40220
Mailing Phone
(502) 806-3376
Mailing Fax
(502) 495-0156
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-18-2015
Last Update Date
09-20-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology Dermatopathology

Taxonomy Code
207ND0900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ND0900XAllopathic & Osteopathic Physicians

Dermatology
Dermatopathology

(KY)
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
3363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TJ BURCH

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(502) 495-1162

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D0931856
Facility Type
Independent
Certificate Effective Date
August 07, 2025
Certificate Expiration Date
August 06, 2027
Laboratory Director
DR. ANDREA S. BURCH
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Family Dermatology after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023409612, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 8 + 0 + 1 + 8 + 6 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1023409612.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023409612, enumerated as an "organization" on February 18, 2015.

The provider is located at 2307 GREENE WAY STE A LOUISVILLE, KY 40220 and the phone number is (502) 806-3376.

Dermatology with taxonomy code 207ND0900X and a focus in Dermatopathology.