PLLC
NPI 1750564530
Dermatology in Louisville, KY

Active since December 14, 2007
1169 EASTERN PARKWAY, SUITE #2310, LOUISVILLE, KY 40217(502) 451-9000(502) 456-2728 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pllc NPPES

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

PLLC (NPI 1750564530) is a healthcare organization registered as a dermatology in Louisville, Kentucky and active in the NPI registry since December 2007. The organization lists Leon Kircik, Owner Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1750564530
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePHYSICIANS SKIN CARE PLLC
Location Address1169 EASTERN PARKWAY, SUITE #2310Louisville, KY 40217
Mailing Address1169 Eastern Parkway, Suit #2310Louisville, KY 40217 · (502) 451-9000 · Fax (502) 456-2728
Fax(502) 456-2728
Organization SubpartNo
Authorized OfficialLeon KircikOwner Sole Proprietor · (502) 451-9000
Enumeration DateDecember 14, 2007
Last NPPES UpdateAugust 13, 2019
NPI 1750564530 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.
1169 EASTERN PARKWAY, Louisville, KY 40217

Other Names 1

Other NamePllc

Other Identifiers 3

Other000000216151KY · Anthem
OtherCJ6680Medicare Railroad Palmett
Medicaid1156019KY

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

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 18D0946700

Physician's Skin Care, PLLC · Louisville, KY
Expired · Jul 31, 2026
CLIA Number18D0946700
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Leon Kircik
Laboratory Phone(502) 451-5000
Laboratory LocationPhysician's Skin Care, PLLC1169 Eastern Parkway 2310, Louisville, KY 40217
CLIA data matches this NPI record on: Address
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 11

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

Psychologist (Clinical)
1169 EASTERN PARKWAY, SUITE 3443
LOUISVILLE, KY 40217
Social Worker (Clinical)
1169 EASTERN PARKWAY, STE 411 MEDICAL ARTS BLDG
LOUISVILLE, KY 40217
Psychologist (Clinical)
1169 EASTERN PARKWAY, SUITE 3443
LOUISVILLE, KY 40217
Pharmacy (Community/Retail Pharmacy)
1169 EASTERN PARKWAY, SUITE 1110
LOUISVILLE, KY 40217
Social Worker (Clinical)
1169 EASTERN PARKWAY, MEDICAL ARTS BUILDING SUITE 411
LOUISVILLE, KY 40217
Chiropractor
1169 EASTERN PARKWAY, ROOM 2215
LOUISVILLE, KY 40217
Speech-Language Pathologist
1169 EASTERN PARKWAY, SUITE 3424
LOUISVILLE, KY 40217
Durable Medical Equipment & Medical Supplies
1169 EASTERN PARKWAY, SUITE 2200
LOUISVILLE, KY 40217

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 Physicians Skin Care PLLC's NPI number?

The NPI number for Physicians Skin Care PLLC is 1750564530. It was assigned to this organization in the NPPES registry on December 14, 2007. The provider is also known as PLLC.

Where is Physicians Skin Care PLLC located?

Physicians Skin Care PLLC is located at 1169 Eastern Parkway Suite #2310, Louisville, KY 40217. The listed phone number is (502) 451-9000.

What is Physicians Skin Care PLLC'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 Physicians Skin Care PLLC was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.