VITALSKIN MEDICAL GROUP IL PLLC - NPI 1639812811

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

The NPI number for Vitalskin Medical Group Il PLLC is 1639812811. It was assigned to this organization in the NPPES registry on April 15, 2022.

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

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

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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 1639812811) is a healthcare organization registered as a dermatology in New Albany, Indiana and active in the NPI registry since April 2022. The organization maintains a secondary practice location in New Albany and lists Dan Wiens, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1639812811

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(812) 944-7500

Organization SubpartNo

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

Enumeration DateApril 15, 2022

Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1639812811 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 Location 1

Location 1825 University Woods Dr Ste 8New Albany, IN 47150-2427 · Phone (812) 944-7500 · Fax (819) 944-4656

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

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