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GREENWOOD DERMATOLOGY PC
NPI 1285808550
Dermatology in Greenwood, IN

Active since April 17, 2008CLIA 15D0687464 · Certificate of Compliance
53 SOUTH PARK BLVD, GREENWOOD, IN 46143(317) 889-7546(317) 889-2482 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greenwood Dermatology Pc NPPES

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

GREENWOOD DERMATOLOGY PC (NPI 1285808550) is a healthcare organization registered as a dermatology in Greenwood, Indiana and active in the NPI registry since April 2008. The organization holds a CLIA Certificate of Compliance certificate valid through July 27, 2027 and lists Thomas J Eads, President, as its authorized official.

NPPES Registry Identity

NPI1285808550
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGREENWOOD DERMATOLOGY PC
Location Address53 SOUTH PARK BLVDGreenwood, IN 46143
Mailing Address53 South Park BlvdGreenwood, IN 46143 · (317) 889-7546 · Fax (317) 889-2482
Phone(317) 889-7546
Fax(317) 889-2482
Organization SubpartNo
Authorized OfficialThomas J EadsPresident · (317) 889-7546
Enumeration DateApril 17, 2008
✔ NPI 1285808550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IN · 01047160
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.
53 SOUTH PARK BLVD, Greenwood, IN 46143
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Other Identifiers 2

Medicare UPINH17291IN
Medicare PIN185300IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 15D0687464

Greenwood Dermatology · Greenwood, IN
Active · expires Jul 27, 2027
CLIA Number15D0687464
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorThomas J. Eads
Laboratory Phone(317) 889-7546
Laboratory LocationGreenwood Dermatology92 S Park Blvd, Greenwood, IN 46143
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

MRS. LAURA T STITLE MD
Dermatology
53 SOUTH PARK BLVD
GREENWOOD, IN 46143
Johnson County (317) 889-7546
MR. LARRY J BUCKEL MD
Dermatology (Dermatopathology)
53 SOUTH PARK BLVD
GREENWOOD, IN 46143
Johnson County (317) 889-7546
MR. THOMAS J EADS MD
Dermatology
53 SOUTH PARK BLVD
GREENWOOD, IN 46143
Johnson County (317) 889-7546

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 Greenwood Dermatology PC's NPI number?

The NPI number for Greenwood Dermatology PC is 1285808550. It was assigned to this organization in the NPPES registry on April 17, 2008.

Where is Greenwood Dermatology PC located?

Greenwood Dermatology PC is located at 53 South Park Blvd, Greenwood, IN 46143. The listed phone number is (317) 889-7546.

What is Greenwood Dermatology PC's specialty?

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

Does Greenwood Dermatology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 15D0687464) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Greenwood Dermatology PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Greenwood Dermatology PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Greenwood Dermatology PC was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.