Dr. Nicholas B Countryman, MD
Dr. Nicholas B Countryman, MD is a Dermatology in Indianapolis, Indiana. Graduated from Yale University School of Medicine in 2005, 21 years ago. Practices with Dawes Fretzin Dermatology Group, LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Indiana and North Carolina.
- Years since qualifying
- 21
- Trained at
- Yale University School of Medicine
- Licensed in
- IN, NC
- In the registry since
- 2008
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
7910 N Shadeland AveIndianapolis, IN 46250-2041
Phone: (317) 516-5000
Fax: (317) 516-5146
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 01069284A (IN) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 2009-00203 (NC) |
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence 01069284A (IN) |
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence 2009-00203 (NC) |
Record details
| NPI number | 1538327309 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | May 29, 2008 |
| Last updated in NPPES | April 5, 2021 |
| Certification date | April 5, 2021 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2005 (21 years in practice) |
| Group practice | Dawes Fretzin Dermatology Group, Llc — 20 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Indianapolis
-
Terrence M Brogan, MD
8925 N Meridian St Ste 200, Indianapolis, IN 46260-2385 · (317) 660-4900
-
Elizabeth A Bryant, MD
550 University Blvd Uh 3240, Indianapolis, IN 46202-5149 · (317) 944-7744
-
Tiffany W Cheng
545 Barnhill Dr, Indianapolis, IN 46202-5112 · (317) 278-6833
-
Cortese Dermatology, PC
8921 Southpointe Dr Ste A-1, Indianapolis, IN 46227-0968 · (317) 780-7400
-
Dawes Fretzin Dermatology Group, LLC
7910 N Shadeland Ave, Indianapolis, IN 46250-2041 · (317) 516-5000
-
Dr. Kenneth W Dawes, MD
7910 N Shadeland Ave, Indianapolis, IN 46250-2041 · (317) 516-5000
-
Dr. Michael S Dent, MD
7910 N Shadeland Ave, Indianapolis, IN 46250-2041 · (317) 516-5000
-
Dermatology Associates of Indiana PC
8433 Harcourt Rd Ste 310, Indianapolis, IN 46260-2190 · (317) 338-9393