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

Mark Tye Haeberle

Individual provider Dermatology Physician · NPI 1558650291

Mark Tye Haeberle is a Dermatology in Louisville, Kentucky. Graduated from University of Louisville School of Medicine in 2011, 15 years ago. Practices with Associates in Dermatology, PLLC, a 37-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
15
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2011
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Practice location Address checks out

3810 Springhurst Blvd Ste 200
Louisville, KY 40241
Phone: (502) 583-1749
Fax: (502) 329-8184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 47890 (KY)

Record details

NPI number1558650291
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2011
Last updated in NPPESJuly 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Associates In Dermatology, Pllc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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