STROW DERMATOLOGY LTD (NPI# 1497930689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497930689 |
| Entity Type | Organization |
| Organization Name | STROW DERMATOLOGY LTD |
| Practice Address |
2041 W Iles Ave Springfield IL 62704-7005 |
| Practice Telephone | 2177935517 |
| Mailing Telephone | 2177935517 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | M ELIZABETH STROW (MD) |
| Authorized Official Telephone | 2177935517 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PROVIDER NUMBER | 779860 | 01 |
| Street Address |
2041 W ILES AVE |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-7005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427127604 | Donald J. Staten | Dentist | 2041 W Iles Ave, Suite B, Springfield, IL 62704-7005 | 2006-11-06 |
| 1427128784 | Kathleen M Woodruff | Dentist | 2041 W Iles Ave, Suite B, Springfield, IL 62704-7005 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| 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). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144474396 | St. John's Health System | Clinic/Center | 1630 E Bradford Pkwy, Suite B, Springfield, MO 65804-6513 | 2008-11-13 |
| 1194908632 | Flat Creek Enterprises, LLC | Clinic/Center | 1410 E Kearney St, Suite D, Springfield, MO 65803-4102 | 2007-12-06 |
| 1609895747 | Norman Soler, M.d. | Clinic/Center | 2501 Chatham Rd Ste 300, Springfield, IL 62704-7112 | 2006-07-19 |
| 1295193803 | Terrance J. Ryan D.c., P.C. | Clinic/Center | 366 River St, Springfield, VT 05156-2242 | 2016-02-10 |
| 1457729741 | Right Choice Health Group LLC | Clinic/Center | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-09-03 |
| 1568855484 | Quest Primary Group LLC | Clinic/Center | 1176 E Home Rd, Springfield, OH 45503-2726 | 2015-03-17 |
| 1922490259 | Quest Cardiology Group | Clinic/Center | 1176 E Home Rd, Springfield, OH 45503-2726 | 2015-02-24 |
| 1346646601 | The Center for Sports Medicine | Clinic/Center | 905 W Sproul Rd, Suite 106, Springfield, PA 19064-1254 | 2014-11-14 |
| 1134491814 | Swan Urogynecology PC | Clinic/Center | 801 Hill St, Springfield, TN 37172-2951 | 2012-01-27 |
| 1811130602 | Garrison Plastic Surgery, LLC | Clinic/Center | 1530 E. Bradford Parkway, Springfield, MO 65804 | 2009-04-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on STROW DERMATOLOGY LTD.
| 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.