Dermatology & Skin Surgery Associates, SC
NPI 1245342633ActiveOrganization· Dermatology· Tinley Park, IL
Dermatology in Tinley Park, Illinois, registered in NPPES in August 2006. The authorized official on file is Donna M. Stockton, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245342633 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Sep 10, 2026 |
| Certified by provider | Sep 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 036073727 | IL |
| Dermatology | 207N00000X | 036109235 | IL |
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 (IL) |
|---|
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