DR. PETER T DEMOS (NPI# 1619977402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619977402 |
| Entity Type | Individual |
| Full Name | DR. PETER T DEMOS |
| Credential | M.D. |
| Practice Address |
125 Liberty St Springfield MA 01103-2961 |
| Mailing Address |
125 Liberty St Springfield MA 01103-1114 |
| Practice Telephone | 4137396611 |
| Practice Fax Number | 4137331059 |
| Mailing Telephone | 4137396611 |
| Mailing Fax Number | 4137331059 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2017-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 58416 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | PROVIDER NUMBER | J06761 | 01 |
| MA | TUFTS PROVIDER NUMBER | 725076 | 01 |
| MA | HNE PROVIDER NUMBER | 11753 | 01 |
| Street Address |
125 LIBERTY ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01103-2961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206241 | Carl Amyas Taylor | Counselor | 125 Liberty St, Springfield, MA 01103-1114 | 2020-08-18 |
| 1346892437 | L&l Life Enrichment Center LLC | Psychologist | 125 Liberty St, Springfield, MA 01103-1114 | 2019-07-10 |
| 1912440892 | Metrocare of Springfield | Nursing Care | 125 Liberty St, Suite 404, Springfield, MA 01103-1114 | 2016-11-28 |
| 1730622614 | Metrocare of Springfield | Custodial Care Facility | 125 Liberty St, Springfield, MA 01103-1114 | 2016-11-28 |
| 1215384409 | Adult and Geriatric Medicine Partners, L.L.C. | Family Medicine | 125 Liberty St, Suite 403, Springfield, MA 01103-1114 | 2016-05-18 |
| 1457717795 | Metrocare of Springfield LLC | In Home Supportive Care | 125 Liberty St, Suite 404, Springfield, MA 01103-1109 | 2015-12-31 |
| 1457729741 | Right Choice Health Group LLC | Clinic/Center | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-09-03 |
| 1730557018 | Mindcare Agency PC | Community/Behavioral Health | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-09-03 |
| 1427431402 | Nicole Dacampo | Registered Nurse | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-07-08 |
| 1427435262 | Nancie Moran | Nurse Practitioner | 125 Liberty St, Suite 403, Springfield, MA 01103-1114 | 2015-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
| 1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
| 1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
| 1528467248 | Amanda M Galloway | Physician Assistant | 1038-1050 Main St, Springfield, MA 01103 | 2014-08-19 |
| 1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
| 1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
| 1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
| 1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
| 1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
| Find all providers in zip 01103 | ||||
| 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 |
| 1437302452 | Dermatology Clinic of Springfield | Dermatology | 1605 G Street, Springfield, OR 97477-4227 | 2008-11-04 |
| 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 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01103 |
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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.