Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780377697 Individual Practitioner Female Practitioner

Dr. Mary Evans Dickerson , MD

Dermatology • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mary Dickerson, MD is a registered healthcare professional specializing in Dermatology in Springfield, IL. Practice services are available at 751 N RUTLEDGE ST STE 2300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

751 N Rutledge St Ste 2300

Springfield, IL 627024968

Telephone 2175458000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.1 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
36 Specialists

Practicing in Springfield, IL (673 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-26
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 125082094

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 26, 2024

Registered at 751 N RUTLEDGE ST STE 2300, SPRINGFIELD, IL 627024968 (Tel: 2175458000)

📍
Updated Business Mailing Address August 26, 2024

Registered at PO BOX 19644, SPRINGFIELD, IL 627949644

NPI Profile Active May 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2023

Registered at 301 N 8TH ST, SPRINGFIELD, IL 627011041 (Tel: 2175453134)

📍
Updated Business Mailing Address May 29, 2023

Registered at 301 N 8TH ST, SPRINGFIELD, IL 627011041

👤
Provider Name / Credentials Updated May 29, 2023

Recorded as MARY DICKERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2023

Dermatology (License #125082094 in IL)

🟢
Initial NPI Registration & Enumeration May 29, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780377697
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2023
Last Update: August 26, 2024
Sole Proprietor: No

Mailing Address

Po Box 19644

Springfield, IL 627949644

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.