SUNFLOWER DERMATOLOGY & DAY SPA LLC (NPI# 1053437392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053437392 |
| Entity Type | Organization |
| Organization Name | SUNFLOWER DERMATOLOGY & DAY SPA LLC |
| Practice Address |
1805 Nw Platte Rd. Suite 120 Riverside MO 64150 |
| Mailing Address |
1805 Nw Platte Rd. Suite 120 Riverside MO 64150-3274 |
| Practice Telephone | 8164720400 |
| Practice Fax Number | 8164720813 |
| Mailing Telephone | 8164720400 |
| Mailing Fax Number | 8164720813 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | DR. BRIAN M MATTHYS (OWNER) |
| Authorized Official Telephone | 8164720400 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
2000152165 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1805 NW PLATTE RD. SUITE 120 |
| City | RIVERSIDE |
| State | MO |
| Zip Code | 64150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063897395 | Kyle Wong | Internal Medicine | 4742 Nw Riverside Dr, Riverside, MO 64150-1102 | 2015-07-28 |
| 1376160515 | Abigail Hardy Rives | Social Worker | 4800 Nw Cliff View Dr Apt 402, Riverside, MO 64150-1207 | 2020-07-04 |
| 1497972624 | Riverside Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 4700 Nw Cliffview Drive, Riverside, MO 64150-1237 | 2007-04-19 |
| 1801908967 | 4700 Cliff View Drive Operating Company LLC | Skilled Nursing Facility | 4700 Nw Cliff View Dr, Kansas City, MO 64150-1237 | 2006-08-31 |
| 1548883549 | Elizabeth Danielle Ham | Physical Therapy Assistant | 4700 Nw Cliff View Dr, Riverside, MO 64150-1237 | 2020-05-26 |
| 1730503558 | Kimberly Cowgill | Registered Nurse | 4700 Nw Cliff View Dr, Riverside, MO 64150-1237 | 2014-02-13 |
| 1033462114 | Stacey Jo Russell | Physical Therapy Assistant | 4700 Nw Cliff View Dr, Riverside, MO 64150-1237 | 2012-10-26 |
| 1487869772 | Integrated Health Services of Cliff Manor, Inc. | Nursing Facility/Intermediate Care Facility | 4700 Nw Cliff View Dr, Kansas City, MO 64150-1237 | 2007-05-11 |
| 1568557205 | Swope Health Services | Clinic/Center | 2906 Nw Vivion Rd, Riverside, MO 64150-1502 | 2006-10-04 |
| 1356339279 | Kendallwood Hospice Company | Hospice Care, Community Based | 2908 Nw Vivion Rd, Riverside, MO 64150-1502 | 2005-10-13 |
| Find all providers in zip 64150 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568992782 | Raffaele Pennella Md LLC | Dermatology | 3808 S Greystone Ct, Springfield, MO 65804-6561 | 2017-06-20 |
| 1427501394 | Dimmick Laughlin Dermatology LLC | Dermatology | 1530 E Primrose St Ste D, Springfield, MO 65804-7910 | 2016-07-27 |
| 1528447125 | Kristin Colleen Smith | Dermatology | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2015-05-28 |
| 1033396577 | Saint Luke's Hospital Physician Billing Services, LLC | Dermatology | 4320 Wornall Rd, Suite 513, Kansas City, MO 64111-5941 | 2008-01-28 |
| 1750335337 | Saint Lukes Physician Group II LLC | Dermatology | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2006-05-19 |
| 1821061151 | St Louis University | Dermatology | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2006-02-08 |
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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.