DERMATOLOGY CLINIC OF SPRINGFIELD (NPI# 1437302452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437302452 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY CLINIC OF SPRINGFIELD |
| Practice Address |
1605 G Street Springfield OR 97477-4227 |
| Practice Telephone | 5417476159 |
| Practice Fax Number | 5417417249 |
| Mailing Telephone | 5417476159 |
| Mailing Fax Number | 5417417249 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |
| Authorized Official Name | TROY K. RICHEY (OWNER/PRACTIONER) |
| Authorized Official Telephone | 5417476159 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
1605 G STREET |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090445 | Peter T Demos Md | Dermatology | 125 Liberty St Ste 206, Springfield, MA 01103-1109 | 2020-07-08 |
| 1952674798 | Ernest Lorenc | Dermatology | 2053 S Pin Oak Drive, Springfield, MO 65809-3142 | 2012-02-09 |
| 1750585741 | Nicole Marie Cassler | Dermatology | Oregon Medical Group Dermatology, 1007 Harlow Rd., Springfield, OR 97477-7124 | 2007-06-13 |
| 1942386677 | Larry Michael Newell | Dermatology | 2951 Montvale Dr, Suite B, Springfield, IL 62704-5341 | 2006-10-27 |
| 1063517746 | Adarsh A Kumar | Dermatology | 2040 Timberbrooke Drive, Springfield, IL 62702 | 2006-09-14 |
| 1558385989 | Siu Physicians & Surgeons, Inc | Dermatology | 201 E Madison St Ste 300, Springfield, IL 62702-5131 | 2006-07-27 |
| 1114961067 | Catherine L Laughlin | Dermatology | 1536 E Primrose St, Springfield, MO 65804-7928 | 2006-06-15 |
| 1891763868 | W Gerald Klingler | Dermatology | 355 W Carpenter Street Ste A, Springfield, IL 62702 | 2006-03-08 |
| 1801866231 | Jenifer Dawn Insley | Dermatology | 3808 S Greystone Ct, Springfield, MO 65804-6561 | 2006-01-26 |
| 1225008881 | James Howard Swann | Dermatology | 4474 Irish Ivy, Springfield, MO 65804-6751 | 2006-01-25 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.