Ozarks Dermatology Specialists, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2002004006 Issued in MO

Legal business name

OZARKS DERMATOLOGY SPECIALISTS, LLC

Practice address

3808 S. Greystone CT.
Springfield, MO 65804

Phone

(417) 889-3332

Fax

(417) 881-1410

NPI assigned

Mar 10, 2011

Last updated

Mar 10, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig W. Naugle, M.D.NPI 1104805381

Title

Physician/Owner

Phone

(417) 889-3332

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin F Lewis, NP-C

  • Nurse Practitioner
  • Springfield, MO
  • NPI 1356955231
  Medicare reassignment Care Compare group NPD
• Jeffery O Armstrong, PA C

  • Physician Assistant
  • Washington, MO
  • NPI 1972597136
  Medicare reassignment Care Compare group
• Erin H York, PA-C

  • Physician Assistant
  • Springfield, MO
  • NPI 1013456045
  Medicare reassignment Care Compare group
• Craig W. Naugle, MD

  • MOHS-Micrographic Surgery Physician
  • Springfield, MO
  • NPI 1104805381
  Authorized official Same address or phone
• Michael H Swann, MD

  • MOHS-Micrographic Surgery Physician
  • Springfield, MO
  • NPI 1972607158

  Dermatology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1073811345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 S. GREYSTONE CT.",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-889-3332",
            "fax_number": "417-881-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 S. GREYSTONE CT.",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-889-3332",
            "fax_number": "417-881-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS DERMATOLOGY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "NAUGLE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "417-889-3332",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2002004006",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2007005538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ozark Retina & Macula
• Ozark Therapy Institute, LLC
• Ozarks Area Community Action Corporation (OACAC Family Planning)
• Ozarks Area Community Action Corporation Head Start
• Ozarks Community Hospital, Inc. (Ozarks Community Hospital of Springfield)
• Ozarks Hearing Specialists LLC (Ozarks Hearing Specialists)
• Ozarks New Hope
• Ozarks Optical Laboratories, Inc.
• Ozarks Physical Therapy Associates Inc. (Marshfield Rehab & Southwest Rehab)
• Ozarks Preferred Dental Group

• Dermatology Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.