STEVE EARL MUSICK I (NPI# 1831176775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831176775 |
Entity Type | Individual |
Full Name | STEVE EARL MUSICK I |
Credential | M.D. |
Practice Address |
4948 Benchmark Centre Dr Swansea IL 62226-2027 |
Practice Telephone | 6186282588 |
Practice Fax Number | 6186281363 |
Mailing Telephone | 6186282588 |
Mailing Fax Number | 6186281363 |
Enumeration Date | 2005-12-30 |
Last Update Date | 2020-07-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 036089938 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE RR PTAN | 070007234 | 01 |
IL | 036089938 | 05 | |
IL | BCBS OF MO | 31779 | 01 |
Street Address |
4948 BENCHMARK CENTRE DR |
City | SWANSEA |
State | IL |
Zip Code | 62226-2027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477530327 | Angela Elizabeth Nauman-musick | Nurse Practitioner | 4948 Benchmark Centre Dr, Swansea, IL 62226-2027 | 2005-12-30 |
1881134765 | Molly A Braddock | Physician Assistant | 4948 Benchmark Centre Dr, Swansea, IL 62226-2027 | 2017-02-27 |
1801036629 | Elizabeth C. Ridley | Physician Assistant | 4948 Benchmark Centre Dr, Swansea, IL 62226-2027 | 2009-03-06 |
1922260587 | Musick Dermatology & Advanced Clinical Spa, LLC | Dermatology | 4948 Benchmark Centre Dr, Swansea, IL 62226-2027 | 2008-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
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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 |
---|---|---|---|---|
1518944552 | James Franklin Gregory | Dermatology | 510 Fullerton Rd, Swansea, IL 62226-2970 | 2005-12-30 |
1710523618 | Skinpros International Pllc | Dermatology | 1675 Gar Hwy, Swansea, MA 02777-3901 | 2019-11-26 |
1962713370 | Erik Domingues | Dermatology | 1675 Gar Hwy, Swansea, MA 02777-3901 | 2010-06-30 |
1922260587 | Musick Dermatology & Advanced Clinical Spa, LLC | Dermatology | 4948 Benchmark Centre Dr, Swansea, IL 62226-2027 | 2008-06-25 |
1598987836 | Susan Lynn Journagan | Dermatology | 510 Fullerton Rd, Swansea, IL 62226-2970 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
1063030252 | Vitalskin Medical Group Il Pllc | Dermatology | 1111 W Kenyon Rd, Urbana, IL 61801-1010 | 2020-07-14 |
1447873831 | Derick Dermatology, LLC | Dermatology | 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 | 2020-05-20 |
1346869393 | Julia Katsnelson Md Sc | Dermatology | 231 Olde Half Day Rd, Lincolnshire, IL 60069-2906 | 2020-04-10 |
1114551983 | Katherine Janezic | Dermatology | 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 | 2020-03-02 |
1013559400 | Orsini Surgical Dermatology Sc | Dermatology | 1519 Legacy Cir, Naperville, IL 60563-3161 | 2019-10-17 |
1124675244 | Kiracofe Md Medical, LLC | Dermatology | 719 South Blvd # 2903, Oak Park, IL 60302-2903 | 2019-08-22 |
1366009664 | Derick Dermatology | Dermatology | 1900 Spring Rd Ste 210, Oak Brook, IL 60523-9063 | 2019-05-22 |
1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
1891257853 | Maria Estela Martinez Escala | Dermatology | 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 | 2019-04-01 |
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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.