Eagle Creek Dermatology
NPI 1053561928ActiveOrganization· Dermatology, Clinical & Laboratory Dermatological Immunology· Indianapolis, IN
Dermatology, Clinical & Laboratory Dermatological Immunology in Indianapolis, Indiana, registered in NPPES in September 2008. The authorized official on file is Ingrida Iveta Ozols, MD, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053561928 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2008 |
| Last updated in NPPES | Sep 11, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, Clinical & Laboratory Dermatological Immunology Primary | 207NI0002X | 01024873 | IN |
| Dermatology | 207N00000X | 01027554 | IN |
| Dermatology, Clinical & Laboratory Dermatological Immunology | 207NI0002X | 01057248 | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
Other Dermatology, Clinical & Laboratory Dermatological Immunology providers in Indianapolis
- 1427145986
All Dermatology, Clinical & Laboratory Dermatological Immunology providers in Indiana