Organization
DERMATOLOGY ASSOCIATES , PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE WHITEHOUSE (ADMINISTRATION)
(502) 896-6355
Entity
Organization
Contact information
Practice address
2811 KLEMPNER WAY, LOUISVILLE, KY 40205
(502) 896-6355
(502) 896-6357
Mailing address
PO BOX 950266, LOUISVILLE, KY 40295-0266
(502) 896-6355
(502) 896-6357
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1090732
PASSPORT
KY
01
—
2435933000
PASSPORT ADVANTAGE
KY
01
—
4884
MEDICARE
KY
05
—
65921173
—
KY
01
—
CL4950
MEDICARE RAIL ROAD
KY
Enumeration date
06/29/2005
Last updated
06/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us