OrganizationActive
East Louisville Dermatology, Psc
NPI 1255468872 · Dermatology Physician · Louisville, KY
Provider details
- NPI number
- 1255468872
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terrie Williams, President(502) 426-9565
- License
- 24086 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4912 US Highway 42
Suite 208
Louisville, KY 40222-6349
Phone: (502) 426-9565
Fax: (502) 425-3240
Street-level locationGet directions
Mailing address
4912 US Highway 42
Louisville, KY 40222-6349
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.