Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagle Creek Dermatology

Organization Dermatology Physician · NPI 1053561928

Eagle Creek Dermatology is a Dermatology Physician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
Specialties on file
3

Practice location Address checks out

6820 Parkdale Pl Ste 211
Indianapolis, IN 46254-6600
Phone: (317) 329-7050
Fax: (317) 328-6809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical & Laboratory Dermatological Immunology Physician (primary) Taxonomy 207NI0002X · Licence 01024873 (IN)
Dermatology Physician Taxonomy 207N00000X · Licence 01027554 (IN)
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X · Licence 01057248 (IN)

Record details

NPI number1053561928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ingrida Ozols — Partner · (317) 329-7050
NPI enumeratedSeptember 26, 2008
Last updated in NPPESSeptember 11, 2013
Mailing address6820 Parkdale Pl, Suite 211, Indianapolis, IN 46254-6600

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