Marsh Dermatology, SC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

MARSH DERMATOLOGY, SC

Practice address

1252 American Way
Libertyville, IL 60048-3936

Phone

(847) 219-8702

NPI assigned

Oct 27, 2007

Last updated

Oct 27, 2007By 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

Eric Marsh, M.D.

Title

President

Phone

(847) 219-8702

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Emily Horecny, APRN

  • Family Nurse Practitioner
  • Libertyville, IL
  • NPI 1609539352
  NPD
• Thomas Michael McGowan, M.D.

  • Family Medicine Physician
  • Lindenhurst, IL
  • NPI 1033173893
  NPD
• Daniela Cvetkova, PA

  • Physician Assistant
  • Lake Forest, IL
  • NPI 1548534977
  NPD (past)
• Scott Richard Heelan, PA-C

  • Physician Assistant
  • Libertyville, IL
  • NPI 1194201947
  NPD (past)

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

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1932388865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 AMERICAN WAY",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 AMERICAN WAY",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483936",
            "telephone_number": "847-219-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSH DERMATOLOGY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-27",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-219-8702",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark a Wojciechowski DDS PC
• Mark and Carol Solomon PTR (Therapyworks)
• Mark Pletcher Ma, LCPC, PLLC
• Heather Meier Marquardt-Hoese, MS
• Steven Marquardt, MD
• Christina Ashley Marsh, M.D.
• Amy L Marshall, OT
• Martin P. Lanoff, MD., S.C.
• Colleen Ann Martin, FNP
• Edna J Martin, PSY.D.

• MOHS-Micrographic Surgery Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• MOHS-Micrographic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.