Admiral Dermatology LLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

ADMIRAL DERMATOLOGY LLC

Practice address

3808 S. Greystone CT.
Springfield, MO 65804

Phone

(417) 889-3332

Fax

(417) 881-1410

NPI assigned

Feb 3, 2022

Last updated

Feb 3, 2022By 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

Michelle Hawkins

Title

Office Manager

Phone

(417) 889-3332

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

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.

• Meghan Seago, M.D.

  • MOHS-Micrographic Surgery Physician
  • Springfield, MO
  • NPI 1972764017

  Dermatology

  Medicare reassignment Care Compare group NPD
• Ashley Hrabik, PA

  • Physician Assistant
  • Springfield, MO
  • NPI 1750741112
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1336892850",
    "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": "ADMIRAL DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-889-3332"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Adkins, PHARMD
• Ryan K. Adkins, M.D.
• Brian Wilson Adkison, D.O.
• Charles Scott Adler, PA-C
• Maggie Adler
• Ads Springfield East LP
• Ads Springfield West LP
• Adult Medicine of the Ozarks, LLC
• Adult Tendercare Inc
• Advanced Acupuncture & Chiropractic LLC

• MOHS-Micrographic Surgery Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• MOHS-Micrographic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.