JOSEPH M DUVALL MD LLC (NPI# 1053414227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053414227 |
| Entity Type | Organization |
| Organization Name | JOSEPH M DUVALL MD LLC |
| Practice Address |
621 S New Ballas Rd 5002b St Louis MO 63141 |
| Practice Telephone | 3144323033 |
| Practice Fax Number | 3149959985 |
| Mailing Telephone | 3144323033 |
| Mailing Fax Number | 3149959985 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | DR. JOSEPH M DUVALL (MD) |
| Authorized Official Telephone | 3144325112 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | R6127 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE ID- TYPE UNSPECI | 000013588 | 01 |
| Street Address |
621 S NEW BALLAS RD 5002B |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356424485 | Sarah B Shores | Obstetrics & Gynecology | 621 S New Ballas Rd, Ste 101a, St Louis, MO 63141 | 2006-10-23 |
| 1346330081 | Bruce Jeffrey Lippmann | Internal Medicine | 621 S New Ballas Rd, Suite 3015b, St Louis, MO 63141-8244 | 2006-10-13 |
| 1669571238 | Mark Douglas Ravenscraft | Internal Medicine | 621 S New Ballas Rd, Suite 3015b, St Louis, MO 63141-8244 | 2006-09-21 |
| 1730288317 | Robyn Hayley Jacobs | Internal Medicine | 621 S New Ballas Rd, Suite 3015b, St Louis, MO 63141-8244 | 2006-09-21 |
| 1265454987 | Ksenija Kos | Psychiatry & Neurology | 621 S New Ballas Rd, Suite 5003 B, St Louis, MO 63141 | 2006-07-24 |
| 1821022682 | Jill E Elwing | Internal Medicine | 621 S New Ballas Rd, 1001b, St Louis, MO 63141 | 2006-07-10 |
| 1750311395 | William R Logan | Psychiatry & Neurology | 621 S New Ballas Rd, Ste 5003-b, St Louis, MO 63141 | 2006-07-03 |
| 1770511271 | Kyeong Philip Lee | Psychiatry & Neurology | 621 S New Ballas Rd, Suite 5003 B, St Louis, MO 63141 | 2006-06-30 |
| 1497783997 | Barbara J Green | Psychiatry & Neurology | 621 S New Ballas Rd, Ste 5003-b, St Louis, MO 63141 | 2006-06-30 |
| 1114984242 | Midwest Gastroenterology & Hepatology PC | Internal Medicine | 621 S New Ballas Rd, #1001b, St Louis, MO 63141 | 2006-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679779565 | Madeliene Elaine Gainers | Dermatology | 660 S. Euclid Avenue, Washington Univ Med Ctr/div of Dermatology, St Louis, MO 63110 | 2007-06-26 |
| 1437247566 | Madhavi Kandula | Dermatology | 845 North New Ballas Court, Suite 310, St Louis, MO 63141-7148 | 2006-10-11 |
| 1336241017 | Stephen M Palmer | Dermatology | 1035 Bellevue, Ste 509, St Louis, MO 63117 | 2006-09-02 |
| 1417010331 | Lester Thomas Reese | Dermatology | 522 North New Ballas Road, Suite 316, St Louis, MO 63141 | 2006-12-19 |
| 1437257953 | Natalie L Semchyshyn | Dermatology | 1755 S Grand, St Louis, MO 63104 | 2006-09-20 |
| 1588775241 | Joseph Duvall | Dermatology | 1755 S Grand, St Louis, MO 63104 | 2006-08-31 |
| 1669499638 | Stacy Beaty | Dermatology | 1755 S Grand, St Louis, MO 63104 | 2006-07-16 |
| 1881611853 | M Yadira Hurley | Dermatology | 1755 S Grand, St Louis, MO 63104 | 2006-07-16 |
| 1962429936 | Dee Anna Glaser | Dermatology | 1755 S Grand, St Louis, MO 63104 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605906 | Deluxe Dermatology LLC | Dermatology | 1034 S Brentwood Blvd Ste 1000, Saint Louis, MO 63117-1210 | 2020-10-03 |
| 1811510886 | Yoon Dermatology LLC | Dermatology | 1060 Meyer Rd, Wentzville, MO 63385-3800 | 2020-05-25 |
| 1417597923 | Anna Marie Aiazzi | Dermatology | 10012 Kennerly Rd Ste 401, Saint Louis, MO 63128-2197 | 2020-01-13 |
| 1790330371 | Baydon Earl Hilton | Dermatology | 1003 Kings Rd, Kirksville, MO 63501-2627 | 2019-08-09 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1528537057 | Cayce Medical Spa, Inc | Dermatology | 2001 Corona Rd Ste 201, Columbia, MO 65203-5924 | 2018-11-14 |
| 1396226981 | Nicole Betty | Dermatology | 413 W Water Street, Greenfield, MO 65661 | 2018-08-22 |
| 1366946832 | Novahealth Medical Group, LLC | Dermatology | 3208 Lemone Industrial Blvd Ste A, Columbia, MO 65201-8244 | 2018-03-20 |
| 1952757007 | Stacy Gittel Blum | Dermatology | 222 S Woods Mill Rd Ste 480, Chesterfield, MO 63017-3625 | 2016-05-08 |
| 1508248576 | Kaitlin Ann Schiavo | Dermatology | 204 N Keene St Ste 100, Columbia, MO 65201-8136 | 2015-06-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.