Provider Demographics
NPI:1932135241
Name:DERMATOLOGY PHYSICIANS, INC.
Entity Type:Organization
Organization Name:DERMATOLOGY PHYSICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHERER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-376-9686
Mailing Address - Street 1:360 PLAZA DR STE C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-2960
Mailing Address - Country:US
Mailing Address - Phone:812-376-9686
Mailing Address - Fax:812-376-9697
Practice Address - Street 1:360 PLAZA DR STE C
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-2960
Practice Address - Country:US
Practice Address - Phone:812-376-9686
Practice Address - Fax:812-376-9697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN051590Medicare ID - Type Unspecified