Michael Loosemore, MD
Dermatology, MOHS-Micrographic Surgery in Springfield, Massachusetts
1063619146- Practice location
- 3455 Main St Ste 5, New England Dermatology & Laser Center, Springfield, MA 01107-1147
- Phone
- 413-733-9600
- Fax
- 413-732-6534
- Last updated
- August 15, 2014
Michael Loosemore is a Dermatology, MOHS-Micrographic Surgery based in Springfield, MA. Michael Loosemore practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Michael Loosemore is 1063619146 and holds a License No. 258043 (MA). The current practice location address for Michael Loosemore is 3455 Main St Ste 5, New England Dermatology & Laser Center, Springfield, MA 01107-1147 and can be reached out via phone at 413-733-9600 and via fax at 413-732-6534.
Provider Profile Details
- NPI Number
- 1063619146
- Provider Name
- Michael Loosemore
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3455 Main St Ste 5, New England Dermatology & Laser Center, Springfield, MA 01107-1147
- Phone Number
- 413-733-9600
- Fax Number
- 413-732-6534
- Primary Taxonomy
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 2, 2007
- Last Update Date
- August 15, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3455 Main St Ste 5
New England Dermatology & Laser Center
Springfield, MA 01107-1147 - City
- Springfield
- State
- Massachusetts
- Zip
- 01107-1147
- Phone Number
- 413-733-9600
- Fax Number
- 413-732-6534
Provider Business Mailing Address Details
- Address
- 3455 Main St Ste 5
New England Dermatology & Laser Center
Springfield, MA 01107-1147 - City
- Springfield
- State
- MA
- Zip
- 01107-1147
- Phone Number
- 413-733-9600
- Fax Number
- 413-732-6534
License Information
- License Number (1)
- 258043
- License State (1)
- MA
- Taxonomy (1)
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X · Primary
- License Number (2)
- 258043
- License State (2)
- MA
- Taxonomy (2)
- Dermatology, Procedural Dermatology · 207NS0135X
- License Number (3)
- 258043
- License State (3)
- MA
- Taxonomy (3)
- Dermatology · 207N00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michael Loosemore, MD?
The NPI number of Michael Loosemore, MD is 1063619146. It was assigned on July 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Michael Loosemore, MD?
Michael Loosemore, MD is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in MA under license number 258043.
Where does Michael Loosemore, MD practice?
The practice location is 3455 Main St Ste 5, New England Dermatology & Laser Center, Springfield, MA 01107-1147. The office can be reached at 413-733-9600 (phone) or 413-732-6534 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063619146 directly on the NPPES registry website.