SPRING DERM, LLC
NPI 1770196719
Physician Assistant in Branson, MO

Active since August 28, 2020
800 STATE HIGHWAY 248 STE 2C, BRANSON, MO 65616(417) 766-8000 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physician Assistant

About SPRING DERM, LLC

This page provides the complete NPI Profile along with additional information for Spring Derm, Llc, a primary care provider established in Branson, Missouri operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1770196719 assigned on August 2020. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Spring Derm, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Deborah Householder (Billing/credentialing Manager)

NPI
1770196719 Verify this NPI
Provider Name
SPRING DERM, LLC
Entity Type
Organization
Location Address
800 STATE HIGHWAY 248 STE 2C BRANSON, MO 65616
Location Phone
(417) 766-8000
Mailing Address
PO BOX 913 ROGERSVILLE, MO 65742
Mailing Phone
(417) 766-8002
Mailing Fax
(888) 773-3706
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-28-2020
Last Update Date
08-28-2020
Code Navigator

A primary care provider (PCP) like Spring Derm, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 2918 E Battlefield Road
    Springfield, MO 65804
    (573) 225-7941

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBORAH HOUSEHOLDER

Authorized Official Title
BILLING/CREDENTIALING MANAGER
Authorized Official Phone
(573) 529-0072

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770196719, enumerated as an "organization" on August 28, 2020.

The provider is located at 800 STATE HIGHWAY 248 STE 2C BRANSON, MO 65616 and the phone number is (417) 766-8000.

Physician Assistant with taxonomy code 363A00000X.