Spring Derm, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

SPRING DERM, LLC

Practice address

800 State Highway 248 Ste 2C
Branson, MO 65616-4078

Phone

(417) 766-8000

NPI assigned

Aug 28, 2020

Organization subpart

Yes

Parent organization

SPRING DERM, LLCAs reported in NPPES

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

Authorized official

Name

Deborah Householder

Title

Billing/Credentialing Manager

Phone

(573) 529-0072

Specialties & licenses 1

Addresses

Part of

Spring Derm LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy M Hunt, PA-C

  • Physician Assistant
  • Springfield, MO
  • NPI 1538311170
  NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1770196719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 913",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657420913",
            "telephone_number": "417-766-8002",
            "fax_number": "888-773-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STATE HIGHWAY 248 STE 2C",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164078",
            "telephone_number": "417-766-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2918 E Battlefield Road",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044016",
            "country_code": "US",
            "telephone_number": "573-225-7941 x57322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPRING DERM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRING DERM, LLC",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "HOUSEHOLDER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "573-529-0072"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandolin Smith, PA-C
• Templeton Smith III, M.D.
• SNH Al Aimo Tenant, Inc.
• Sandra Jo Snider, M.D.
• Suthipong Soontrapa, MD
• Springfield Neurological and Spine Institute
• Maria Catherine Spurling, MD
• Timothy Joseph St Onge, DC
• Laura J Stalling, LMSW
• Kai Lea Stancer, PA-C

• Physician Assistant in Branson, MO
• Providers in Branson, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.