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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: August 23, 2026.

About Spring Derm, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPRING DERM, LLC (NPI 1770196719) is a healthcare organization registered as a physician assistant in Branson, Missouri and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Springfield and lists Deborah Householder, Billing/credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1770196719
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSPRING DERM, LLC
Location Address800 STATE HIGHWAY 248 STE 2CBranson, MO 65616-4078
Mailing AddressPo Box 913Rogersville, MO 65742-0913 · (417) 766-8002 · Fax (888) 773-3706
Phone(417) 766-8000
Organization SubpartYes
Authorized OfficialDeborah HouseholderBilling/credentialing Manager · (573) 529-0072
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 28, 2020
✔ NPI 1770196719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
800 STATE HIGHWAY 248 STE 2C, Branson, MO 65616
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Secondary Practice Location 1

Location 12918 E Battlefield RoadSpringfield, MO 65804-4016 · Phone (573) 225-7941 ext. 57322

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spring Derm, LLC's NPI number?

The NPI number for Spring Derm, LLC is 1770196719. It was assigned to this organization in the NPPES registry on August 28, 2020.

Where is Spring Derm, LLC located?

Spring Derm, LLC is located at 800 State Highway 248 Ste 2C, Branson, MO 65616. The listed phone number is (417) 766-8000.

What is Spring Derm, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Spring Derm, LLC was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.