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DERMATOLOGY CLINIC OF MUNCIE, INC.
NPI 1477647303
Dermatology in Muncie, IN

Active since October 03, 2006CLIA 15D0360074 · Microscopy
1808 W ROYALE DR, MUNCIE, IN 47304(765) 288-8188(765) 282-7242 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dermatology Clinic Of Muncie, Inc. NPPES

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

DERMATOLOGY CLINIC OF MUNCIE, INC. (NPI 1477647303) is a healthcare organization registered as a dermatology in Muncie, Indiana and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through January 9, 2027 and lists Charles William Bartholome, President, as its authorized official.

NPPES Registry Identity

NPI1477647303
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY CLINIC OF MUNCIE, INC.
Location Address1808 W ROYALE DRMuncie, IN 47304-2243
Mailing Address1808 W Royale DrMuncie, IN 47304-2243 · (765) 288-8188 · Fax (765) 282-7242
Phone(765) 288-8188
Fax(765) 282-7242
Organization SubpartNo
Authorized OfficialCharles William BartholomePresident · (765) 288-8188
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 18, 2007
✔ NPI 1477647303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IN · 50001481A
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.
1808 W ROYALE DR, Muncie, IN 47304
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Other Identifiers 2

Medicaid100105450IN
Medicare PIN204700IN

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 for Provider-Performed Microscopy Procedures (PPMP) 15D0360074

Dermatology Clinic Of Muncie · Muncie, IN
Active · expires Jan 9, 2027
CLIA Number15D0360074
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorChristine Watson
Laboratory Phone(765) 288-8188
Laboratory LocationDermatology Clinic Of Muncie1808 W Royale Dr, Muncie, IN 47304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

OLIVIA PHILLIPS PA-C
Physician Assistant
1808 W ROYALE DR
MUNCIE, IN 47304
Delaware County (765) 288-8188
DR. STEPHAN ROBERT SAWICKI MD
Dermatology
1808 W ROYALE DR
MUNCIE, IN 47304
Delaware County (765) 288-8188
DR. CHARLES WILLIAM BARTHOLOME MD
Dermatology
1808 W ROYALE DR
MUNCIE, IN 47304
Delaware County (765) 288-8188

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 Clinic Of Muncie, Inc.'s NPI number?

The NPI number for Dermatology Clinic Of Muncie, Inc. is 1477647303. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Dermatology Clinic Of Muncie, Inc. located?

Dermatology Clinic Of Muncie, Inc. is located at 1808 W Royale Dr, Muncie, IN 47304. The listed phone number is (765) 288-8188.

What is Dermatology Clinic Of Muncie, Inc.'s specialty?

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

Does Dermatology Clinic Of Muncie, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D0360074) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology Clinic Of Muncie, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Dermatology Clinic Of Muncie, Inc. 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 Dermatology Clinic Of Muncie, Inc. was last updated on October 18, 2007. 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.