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ASSOCIATED DERMATOLOGISTS INC. NPI 1871773325


NPI Information

NPI: 1871773325
Provider Name: ASSOCIATED DERMATOLOGISTS, INC.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1671 N LIMESTONE ST
SPRINGFIELD, OH
ZIP 45503
Phone: (937) 399-5911
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ASSOCIATED DERMATOLOGISTS, INC. is a medical specialty clinic center in Springfield, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ASSOCIATED DERMATOLOGISTS, INC. NPI is 1871773325. The provider is registered as an organization entity type.

The provider's business location address is:

1671 N LIMESTONE ST
SPRINGFIELD, OH
ZIP 45503-646
Phone: (937) 399-5911

The provider's authorized official is Joe Michael Hazel .
The authorized official title is Doctor/president and has the following contact phone number (937) 399-5911.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 11/14/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty35030442OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19290401MEDICARE PINOHIO
2D31911MEDICARE UPINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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