Beaird Dermatology S C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BEAIRD DERMATOLOGY S C

Practice address

4885 Hoffman Blvd
Suite #407
Hoffman Estates, IL 60192-3726

Phone

(224) 484-0183

NPI assigned

May 4, 2016

Last updated

Sep 26, 2019By 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

Leslie J M BeairdNPI 1245259142

Title

Owner

Phone

(224) 484-0183

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 6

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.

• Leslie J.M. Beaird, M.D.

  • Dermatology Physician
  • Hoffman Estates, IL
  • NPI 1245259142
  Medicare reassignment Care Compare group NPD Authorized official
• Seema Pasha Apichai, M.D.

  • Anatomic Pathology Physician
  • Chicago, IL
  • NPI 1811204399
  Medicare reassignment Care Compare group
• Alycia Corral, PA-C

  • Physician Assistant
  • Hoffman Estates, IL
  • NPI 1265106835
  Medicare reassignment Care Compare group
• Callie Dahleen, PA-C

  • Medical Physician Assistant
  • Hoffman Estates, IL
  • NPI 1750719944
  Medicare reassignment Care Compare group
• James Lassiter Quertermous, M.D.

  • MOHS-Micrographic Surgery Physician
  • Hoffman Estates, IL
  • NPI 1184919508
  Medicare reassignment Care Compare group
• Michael D Render, PA-C

  • Physician Assistant
  • Hoffman Estates, IL
  • NPI 1134679129
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1215383666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3376",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600113376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 HOFFMAN BLVD",
            "address_2": "SUITE #407",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923726",
            "telephone_number": "224-484-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAIRD DERMATOLOGY S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "BEAIRD",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "J M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-484-0183"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Bartoszewski, LCSW
• Carolyne Mubiru Batte
• Laura Bauer, APN, NP
• Wayne F Bauer, MSW
• Beacon Midwest Psychiatry PLLC
• Leslie J.M. Beaird, M.D.
• Diane J Beamer, PHD
• David Becker, APRN
• William John Becker
• Bruce Bedingfield, D.O.

• Dermatology Physician in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.