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Contact Information

AMERICAN DERMATOLOGY ASSOCIATES, LLC
6333 LONG AVE
SUITE 360
SHAWNEE, KS66216-2559
 Phone: 913-631-6330
 Fax: 913-631-6222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for AMERICAN DERMATOLOGY ASSOCIATES, LLC

NPI Number 1063441103
LBN Legal business name AMERICAN DERMATOLOGY ASSOCIATES, LLC
Authorized official MARY BAUMGARTNER - (ASSOCIATE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2006
Last updated 05/27/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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