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

Eagle Creek Dermatology

Organization Dermatology Physician · NPI 1053561928

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

Licensed in
IN
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

6820 Parkdale Pl Ste 211
Indianapolis, IN 46254-6600 Not confirmed with CMS for 13 years — call before visiting
Phone: (317) 329-7050
Fax: (317) 328-6809
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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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