Associated Dermatologists LTD.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ASSOCIATED DERMATOLOGISTS LTD.

Practice address

2951 Montvale Dr
Suite B
Springfield, IL 62704-5341

Phone

(217) 726-6429

Fax

(217) 726-6786

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Larry M. Newell, M.D.NPI 1942386677

Title

President

Phone

(217) 726-6429

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Larry Michael Newell, MD

  • Dermatology Physician
  • Springfield, IL
  • NPI 1942386677
  Authorized official Same address or phone

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1184761066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 MONTVALE DR",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045341",
            "telephone_number": "217-726-6429",
            "fax_number": "217-726-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 MONTVALE DR",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045341",
            "telephone_number": "217-726-6429",
            "fax_number": "217-726-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DERMATOLOGISTS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "NEWELL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-726-6429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER #",
            "identifier": "BLUECROSSBLUE SHIELD",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Louise Ashley, FNP-BC
• Susan L. Asibal, CRNA
• Marium Asif
• Amal Asiri, MBBS, MD
• Associated Anesthesiologists of Springfield, LTD
• Associated Pathologists LTD
• Jyoti Assudani, M.D.
• Jeannette M Atcherson, CST/CFA
• Tierney Ater
• Brian Douglas Atkins, OD

• Dermatology Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.