Louisville Dermatology Asc PSC
NPI 1669539789ActiveOrganization· Dermatology· Louisville, KY
Dermatology in Louisville, Kentucky, registered in NPPES in January 2007. The authorized official on file is Martin Thomas Logsdon, MD, Dermatologist Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669539789 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2007 |
| Last updated in NPPES | Dec 2, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
Other Dermatology providers in Louisville
- 1629083399
- 1508911256
- 1578560181
- 1013069301
- 1235245754
- 1255468872
- 1629524913
- 1861897217
- 1972227403
- 1659640878
- 1295924520
- 1578745923