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Dermatology Specialists, Psc

Dermatology Physician in Louisville, KY · enumerated 2007 · authorized official J. Jackson, Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013069301

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Registry record

Entity type Organization (Type 2)
Legal business name Dermatology Specialists, Psc
Practice address 501 S 2nd St, First Floor, Louisville, KY, 40202
Fax (502) 589-3429
Enumeration date Jan 17, 2007
Last updated in NPPES Jan 17, 2014

Taxonomy & classification

174400000X Specialist Other Service Providers Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name J. Jackson
Title Partner

Other identifiers

Identifier Type State Issuer
CA7485 Other - RRR MEDICARE
200044790B Medicaid IN -
2433273000 Other KY PASSPORT ADVANTAGE
1052384 Other KY PASSPORT

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Dermatology Specialists, Psc?
Dermatology Specialists, Psc is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-17.