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Dermatology Center of Southern Indiana, P.C.

NPI 1659451755ActiveOrganization· Specialist· Bloomington, IN

Specialist in Bloomington, Indiana, registered in NPPES in October 2006. The authorized official on file is Mary Kathleen McTigue, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1659451755
StatusActive
Entity typeOrganization
NPI issuedOct 16, 2006
Last updated in NPPESApr 11, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IN)

Medicare sources and data years

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