Associated Dermatologists Ltd. in Springfield - Dermatology
Associated Dermatologists Ltd. - NPI 1184761066
Associated Dermatologists Ltd. is a Dermatology in Springfield, Illinois. Associated Dermatologists Ltd. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Associated Dermatologists Ltd. is 1184761066. The last update date is 2008-02-07.
Associated Dermatologists Ltd.'s current location address is 2951 Montvale Dr, Springfield, Illinois. You can contact this provider via phone number 2177266429 and fax number 2177266786. The mailing address for Associated Dermatologists Ltd. is 2951 Montvale Dr, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Associated Dermatologists Ltd. |
|---|---|
| Address | 2951 Montvale Dr, Springfield, Illinois |
| Phone Number | 2177266429 |
| Fax Number | 2177266786 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Newell M. Larry |
| Credentials | M.D. |
| Telephone Number | 2177266429 |
NPI Number Detail
| NPI Number | 1184761066 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2008-02-07 |
Provider Mailing Address Detail
| Address | 2951 Montvale Dr |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627045341 |
| Phone Number | 2177266429 |
| Fax Number | 2177266786 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BLUECROSSBLUE S | IL | GROUP PROVIDER # |
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What is the unique 10-digit identifier code assigned to Associated Dermatologists Ltd. by the Centers for Medicare & Medicaid Services?
The Associated Dermatologists Ltd. has been issued the NPI (National Provider Identifier) 1184761066 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Associated Dermatologists Ltd. located?
The Associated Dermatologists Ltd. is located at 2951 Montvale Dr, Springfield, IL 627045341.
What is the Associated Dermatologists Ltd.'s specialty and taxonomy code?
The Associated Dermatologists Ltd.'s specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
On what date did Associated Dermatologists Ltd. receive its 1184761066 assignment from the Centers for Medicare & Medicaid Services?
The Associated Dermatologists Ltd. was assigned its 1184761066 on 2007-01-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Associated Dermatologists Ltd.'s details last updated?
The information pertaining to the Associated Dermatologists Ltd., including its address, specialty, and other details, was most recently updated on 2008-02-07.
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