VITALSKIN MEDICAL GROUP IL PLLC
NPI 1477297083
Dermatology in New Albany, IN

Q: What is Vitalskin Medical Group Il PLLC's NPI number?

The NPI number for Vitalskin Medical Group Il PLLC is 1477297083. It was assigned to this organization in the NPPES registry on April 21, 2022.

Q: What is Vitalskin Medical Group Il PLLC's specialty?

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

Active since April 21, 2022CLIA 15D0935037 · Certificate of Compliance

2857 CHARLESTOWN RD STE 100, NEW ALBANY, IN 47150(129) 447-5008 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 12, 2024, May 4, 2022, Apr 21, 2022 (3 updates tracked since 2022).

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About Vitalskin Medical Group Il Pllc NPPES

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

VITALSKIN MEDICAL GROUP IL PLLC (NPI 1477297083) is a healthcare organization registered as a dermatology in New Albany, Indiana and active in the NPI registry since April 2022. The organization holds a CLIA Certificate of Compliance certificate valid through July 21, 2028, maintains 5 additional practice locations, and lists Dan Wiens, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1477297083

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameVITALSKIN MEDICAL GROUP IL PLLC

Location Address2857 CHARLESTOWN RD STE 100New Albany, IN 47150-1998

Mailing Address1111 W Kenyon RdUrbana, IL 61801-1010 · (858) 735-4059

Phone(129) 447-5008

Organization SubpartNo

Authorized OfficialDan WiensChief Financial Officer · (704) 534-1854

Enumeration DateApril 21, 2022

Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1477297083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2857 CHARLESTOWN RD STE 100, New Albany, IN 47150

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Secondary Practice Locations 5

Location 113802 Lake Point Cir Ste 102Louisville, KY 40223-4219 · Phone (502) 245-4450

Location 2114 Manor AveBardstown, KY 40004-3230 · Phone (573) 644-4066

Location 313802 Lake Point Cir Ste 201Louisville, KY 40223-4219 · Phone (502) 245-4450

Location 4825 University Woods Dr Ste 8New Albany, IN 47150-2427 · Phone (812) 944-7500

Location 57931 Bardstown RdLouisville, KY 40291-3437 · Phone (502) 349-9999 · Fax (502) 349-9499

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 Anthem Blue Cross and Blue Shield.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 15D0935037

Vitalskin Medical Group PLLC, Dba Dermatology Center, The · New Albany, IN

Active · expires Jul 21, 2028

CLIA Number15D0935037

Laboratory TypePhysician Office

Certificate Effective DateJuly 22, 2026

Certificate Expiration DateJuly 21, 2028

Laboratory DirectorScott L. Zahner

Laboratory Phone(812) 944-7500

Laboratory LocationVitalskin Medical Group PLLC, Dba Dermatology Center, The2857 Charlestown Rd, Ste 100, New Albany, IN 47150

CLIA data matches this NPI record on: Address 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 7

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

BRIANNA LANGENKAMP PA

Physician Assistant