Dermuss LTD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036102086 Issued in IL

Legal business name

DERMUSS LTD

Practice address

905 Fox Glen CT
Barrington, IL 60010-1863

Phone

(847) 277-1200

Fax

(847) 277-1209

NPI assigned

Jul 6, 2006

Last updated

Jul 28, 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

Una Shah, MDNPI 1699959213

Title

Doctor

Phone

(847) 277-1200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 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.

• Una Shah, M.D.

  • Specialist
  • Barrington, IL
  • NPI 1699959213
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1386675171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101863",
            "telephone_number": "847-277-1200",
            "fax_number": "847-277-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101863",
            "telephone_number": "847-277-1200",
            "fax_number": "847-277-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMUSS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "UNA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-277-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036102086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa F Derken, MD
• Dermatology Physicians & Surgeons, LTD (Van Dam Dermatology)
• Tricia Detig, M.S., CCC-SLP
• Margaret M Devault, P.A.-C
• Daniel J Dewitt, PHD
• Patricia H Dewitt, PHD
• Diagnostic Assessment and Student Advocacy Co

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.