MEDICARE: DERMATOLOGY ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	01049424	IN

General Provider Information

NPI Number	:	1639483704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DERMATOLOGY ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	931 E 86TH ST
Second Line	:	SUITE 104
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-1860
Country	:	US
Telephone Number	:	317-257-1484
Fax Number	:	317-257-1488

Provider Business Practice Location Address
First Line	:	931 E 86TH ST
Second Line	:	SUITE 104
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-1860
Country	:	US
Telephone Number	:	317-257-1484
Fax Number	:	317-257-1488

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. SONYA FURNAE CAMPBELL JOHNSON
Credential	:	M.D.
Telephone Number	:	317-257-1484

Provider Enumeration Date	:	08/01/2010
Last Update Date	:	05/02/2017

Similar Medicare Providers

1831169036 — DR. SONYA FURNAE CAMPBELL JOHNSON M.D.
Practice Location Address:

931 E 86TH ST , SUITE 104
INDIANAPOLIS, IN
46240-1860

Practice Phone: 317-257-1484
Practice Fax: 317-257-1488

1598825648 — LOIS J BUSHONG LMFT
Practice Location Address:

931 E 86TH ST , SUITE 101
INDIANAPOLIS, IN
46240-1860

Practice Phone: 317-523-5517
Practice Fax:

1235282914 — MS. CYNTHIA MARIE RAGSDALE L.M.H.C.
Practice Location Address:

931 E 86TH ST , STE. 101
INDIANAPOLIS, IN
46240-1860

Practice Phone: 317-466-1516
Practice Fax: 317-466-1516

1750419404 — DR. TYRUS W CAMPBELL DDS
Practice Location Address:

931 E 86TH ST , SUITE 207
INDIANAPOLIS, IN
46240-1860

Practice Phone: 317-255-0307
Practice Fax: 317-255-0465

1750685731 — TY CAMPBELL DDS, LLC
Practice Location Address:

931 E 86TH ST , SUITE 207
INDIANAPOLIS, IN
46240-1860

Practice Phone: 317-255-0307
Practice Fax:

1417239591 — PAMELA WALL PA
Practice Location Address:

931 E 86TH ST , SUITE 104
INDIANAPOLIS, IN
46240-1860

Practice Phone: 317-257-1484
Practice Fax: 317-257-1488

Directions to “DERMATOLOGY ASSOCIATES, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.