LOUISVILLE DERMATOLOGY ASC PSC
NPI 1669539789
Dermatology in Louisville, KY

Active since January 02, 2007
1700 BLUEGRASS AVENUE, SUITE 300, LOUISVILLE, KY 40215(502) 363-1841(502) 366-3317 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Louisville Dermatology Asc Psc NPPES

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

LOUISVILLE DERMATOLOGY ASC PSC (NPI 1669539789) is a healthcare organization registered as a dermatology in Louisville, Kentucky and active in the NPI registry since January 2007. The organization lists Martin Thomas Logsdon, Dermatologist Owner, as its authorized official.

NPPES Registry Identity

NPI1669539789
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLOUISVILLE DERMATOLOGY ASC PSC
Location Address1700 BLUEGRASS AVENUE, SUITE 300Louisville, KY 40215
Mailing Address1700 Bluegrass Avenue, Suite 300Louisville, KY 40215 · (502) 363-1841 · Fax (502) 366-3317
Fax(502) 366-3317
Organization SubpartNo
Authorized OfficialMartin Thomas LogsdonDermatologist Owner · (502) 363-1841
Enumeration DateJanuary 2, 2007
Last NPPES UpdateDecember 2, 2013
NPI 1669539789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedNurse PractitionerTaxonomy 363L00000X
1700 BLUEGRASS AVENUE, Louisville, KY 40215

Other Identifiers 3

Medicaid65943797KY
Medicare ID-Type Unspecified1516KY
Other50005707Passport

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dermatology
1700 BLUEGRASS AVENUE, SUITE 300
LOUISVILLE, KY 40215
Specialist
1700 BLUEGRASS AVENUE, SUITE 110
LOUISVILLE, KY 40215

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 Louisville Dermatology ASC Psc's NPI number?

The NPI number for Louisville Dermatology ASC Psc is 1669539789. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Louisville Dermatology ASC Psc located?

Louisville Dermatology ASC Psc is located at 1700 Bluegrass Avenue Suite 300, Louisville, KY 40215. The listed phone number is (502) 363-1841.

What is Louisville Dermatology ASC Psc's specialty?

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

When was this NPI record last updated?

The NPPES record for Louisville Dermatology ASC Psc was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.