Comprehensive Dermatology PC
NPI 1689660946ActiveOrganization· Dermatology· Avon, IN
Dermatology in Avon, Indiana, registered in NPPES in September 2005. The authorized official on file is David Levi Nathan, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689660946 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2005 |
| Last updated in NPPES | Dec 18, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 01051097 | IN |
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 (IN) |
|---|
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