MR. ROBERT A BUZZELL


Address: 751 N Rutledge St, Springfield, IL 62702-4909
Phone: 2175453821

MR. ROBERT A BUZZELL (NPI# 1861495699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861495699
Entity Type Individual
Full Name MR. ROBERT A BUZZELL
Credential M.D.
Practice Address 751 N Rutledge St
Springfield
IL 62702-4909
Mailing Address Po Box 19644
Springfield
IL 62794-9644
Practice Telephone 2175453821
Practice Fax Number 2175454485
Mailing Telephone 2175453821
Mailing Fax Number 2175454485
Enumeration Date 2005-05-24
Last Update Date 2009-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
036086434 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036086434 05

Office Location

Street Address 751 N RUTLEDGE ST
City SPRINGFIELD
State IL
Zip Code 62702-4909

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023011863 Lucinda S Buescher Dermatology 751 N Rutledge St, Springfield, IL 62702-4909 2005-05-24
1831798933 Robin E Simon Nurse Practitioner 751 N Rutledge St, Springfield, IL 62702-4968 2020-10-20
1891308185 Whitney Ringer Nurse Practitioner 751 N Rutledge St, Springfield, IL 62702-4968 2020-08-26
1518581149 Aliza Hasan Dermatology 751 N Rutledge St, Springfield, IL 62702-4968 2020-05-29
1215559943 Sindhu Reddy Pisati Psychiatry & Neurology 751 N Rutledge St, Springfield, IL 62702-4968 2020-05-15
1205458270 Paul Hyatt Guerin Psychiatry & Neurology 751 N Rutledge St, Springfield, IL 62702-4968 2020-05-13
1215597398 Alireza Showraki Internal Medicine 751 N Rutledge St, Springfield, IL 62702-4968 2019-06-19
1881252013 Andrew Paul Thaliath Internal Medicine 751 N Rutledge St, Springfield, IL 62702-4968 2019-06-03
1891352126 Emily M Ackerman Nurse Practitioner 751 N Rutledge St, Springfield, IL 62702-4968 2019-05-22
1245725308 Cory Edward Sykora Psychiatry & Neurology 751 N Rutledge St, Springfield, IL 62702-4968 2018-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578129599 Metro Mohs Surgery Center, LLC Dermatology 5501 Backlick Rd Ste 120, Springfield, VA 22151-3940 2019-05-15
1972913259 Lindsey Fix Dermatology 1605 G St, Springfield, OR 97477 2014-05-07
1982040069 Bridget E Mcilwee Dermatology 1025 S 6th St, Springfield, IL 62703-2403 2013-05-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295374270 Lilly Aesthetics Sc Dermatology 2500 S Highland Ave Ste 220, Lombard, IL 60148-7103 2019-12-23
1194270637 University Dermatology and Vein Clinic LLC Dermatology 8110 Cass Ave, Darien, IL 60561-5013 2016-08-24
1174984959 Advanced Skin and Mohs Surgery Center S.c. Dermatology 2845 N. Sheridan Road, Ste 912, Chicago, IL 60657 2016-03-08
1376915629 Forefront Dermatology, S.c. Dermatology 1520 Bond St, Naperville, IL 60563 2015-10-27
1710294756 Tracy Campbell Md LLC Dermatology 675 W North Ave Ste 506, Melrose Park, IL 60160-1626 2010-09-13
1932388865 Marsh Dermatology, Sc Dermatology 1252 American Way, Libertyville, IL 60048-3936 2007-10-27
1538200308 Omeed Memar Dermatology 50 E Washington St Ste 200, Chicago, IL 60602-2154 2007-02-12
1891721965 Aleksandar L Krunic Dermatology 5140 N California Ave Ste 660, Chicago, IL 60625-3664 2006-06-23
1073595690 Ashish C Bhatia Dermatology 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 2005-11-18
1538153960 Sharon Louise Horton Dermatology 1049 E Wilson St, Suite 190, Batavia, IL 60510-2474 2005-08-31
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Competitor

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City SPRINGFIELD
Zip Code 62702

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Dataset Information

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.

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