BARDSTOWN DERMATOLOGY PSC
NPI 1932260783
Dermatology in Bardstown, KY

Active since December 13, 2006CLIA 18D0983198 · Certificate of Compliance
114 MANOR DR, BARDSTOWN, KY 40004(502) 349-9999(502) 349-9499 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 17, 2019, Dec 12, 2016 (2 updates tracked since 2016).

About Bardstown Dermatology Psc NPPES

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

BARDSTOWN DERMATOLOGY PSC (NPI 1932260783) is a healthcare organization registered as a dermatology in Bardstown, Kentucky and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through July 9, 2028 and lists Connie Cheser, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1932260783
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBARDSTOWN DERMATOLOGY PSC
Location Address114 MANOR DRBardstown, KY 40004-3230
Mailing Address114 Manor DrBardstown, KY 40004-3230 · (502) 349-9999 · Fax (502) 349-9499
Fax(502) 349-9499
Organization SubpartNo
Authorized OfficialConnie CheserOffice Manager · (502) 349-9999
Enumeration DateDecember 13, 2006
Last NPPES UpdateJanuary 17, 20192 updates tracked since enumeration
✔ NPI 1932260783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse PractitionerTaxonomy 363L00000X
114 MANOR DR, Bardstown, KY 40004

Other Identifiers 3

Other9809KY · Medicare
Other1135703KY · Passport
Medicaid65934416KY

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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 18D0983198

Bardstown Dermatology · Bardstown, KY
Active · expires Jul 9, 2028
CLIA Number18D0983198
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorDr. Scott L. Zahner
Laboratory Phone(502) 317-2745
Laboratory LocationBardstown Dermatology114 Manor Drive, Bardstown, KY 40004
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Bardstown Dermatology Psc's NPI number?

The NPI number for Bardstown Dermatology Psc is 1932260783. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Bardstown Dermatology Psc located?

Bardstown Dermatology Psc is located at 114 Manor Dr, Bardstown, KY 40004. The listed phone number is (502) 349-9999.

What is Bardstown Dermatology Psc's specialty?

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

Does Bardstown Dermatology Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D0983198) is associated with this NPI, valid through July 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bardstown Dermatology Psc accept?

Health plans from Anthem Blue Cross and Blue Shield list Bardstown Dermatology Psc 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 Bardstown Dermatology Psc was last updated on January 17, 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.