DR. ELIZABETH ANNE RANCOUR


Address: 1011 Bowles Ave, Ste 121, Fenton, MO 63026
Phone: 3142002713

DR. ELIZABETH ANNE RANCOUR (NPI# 1093129538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093129538
Entity Type Individual
Full Name DR. ELIZABETH ANNE RANCOUR
Credential M.D.
Practice Address 1011 Bowles Ave
Ste 121
Fenton
MO 63026
Mailing Address 1011 Bowles Ave
Ste 121
Fenton
MO 63026-2387
Practice Telephone 3142002713
Practice Fax Number 3142002714
Mailing Telephone 3142002713
Mailing Fax Number 3142002714
Enumeration Date 2014-06-12
Last Update Date 2018-09-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 2018004930 MO Allopathic & Osteopathic Physicians
N 207N00000X Dermatology 11018204A IN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
545 Barnhill Dr # Eh139, Indiana University, Department of Dermatology, Indianapolis, IN 462025112 3179447744 3178800532

Office Location

Street Address 1011 BOWLES AVE
STE 121
City FENTON
State MO
Zip Code 63026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710979208 Cesar Fernando Munoz Internal Medicine 1011 Bowles Ave, Ste. 300, Fenton, MO 63026-2395 2005-08-19
1083120208 Tiffany Shanta Harold Nurse Practitioner 1011 Bowles Ave, Fenton, MO 63026-2395 2017-12-26
1093250334 Laura Ann Rogers Registered Nurse 1011 Bowles Ave, Ste 220, Fenton, MO 63026-2395 2016-12-22
1124579966 Ssm Medical Group Inc. Orthopaedic Surgery 1011 Bowles Ave, Suite 400, Fenton, MO 63026-2395 2016-10-17
1699158196 Diane Denise Block Nurse Practitioner 1011 Bowles Ave, Suite 300, Fenton, MO 63026-2395 2015-07-01
1992196992 Tara Joann Knoepp Physical Therapist 1011 Bowles Ave, Suite 150, Fenton, MO 63026-2395 2015-02-11
1558799742 Amanda Nicole Meitz Nurse Practitioner 1011 Bowles Ave, Suite 205, Fenton, MO 63026-2395 2013-10-24
1013253699 Lita Lapins Nurse Practitioner 1011 Bowles Ave, Suite 300, Fenton, MO 63026 2012-12-30
1043568280 Denise P Blackburn Registered Nurse 1011 Bowles Ave, Suite G10, Fenton, MO 63026-2395 2012-08-20
1013204692 Center for Advanced Foot & Ankle Surgery, Inc. Podiatrist 1011 Bowles Ave, Suite 123, Fenton, MO 63026-2395 2011-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871000372 Allison Egler Audiologist 1011 Bowles Ave Ste 405, Fenton, MO 63026 2018-01-05
1629508213 Holly Brooks Munson Massage Therapist 220 Copper Mountain Dr, Fenton, MO 63026 2017-06-15
1073978862 Naomi Sharon Nurse Practitioner 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 2015-12-21
1871981704 Celtic Private Care of Il & Mo, LLC In Home Supportive Care 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 2014-12-30
1356747513 Kristina Potts Nurse Practitioner 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 2014-11-14
1245642420 Physicians Health Group Medical Inc General Practice 960 S. Highway Dr, Fenton, MO 63026 2014-05-22
1598047409 Kevin Eugene Bruce Pharmacist 1210 Sugar Creek, Fenton, MO 63026 2011-09-16
1215186382 Concentra Health Services, Inc. Clinic/Center 128 Matrix Commons Dr., Fenton, MO 63026 2008-09-15
1790954410 Castlewood Treatment Center LLC Community/Behavioral Health 1855 Bowles Ave, Suite 210, Fenton, MO 63026 2008-02-27
1073703617 Christina R Baeres Dietitian, Registered 38 Majestic Ct, Fenton, MO 63026 2007-07-30
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912904772 Eric Scott Seiger Dermatology 305 N Leroy St, Fenton, MI 48430-2729 2005-07-07
1760810543 St Louis Dermatology LLC Dermatology 1011 Bowles Avenue, Suite 121, Fenton, MO 63026-2387 2013-10-14
1275551707 Jeffrey E Petersen Dermatology 1011 Bowles Ave, Suite 121, Fenton, MO 63026-2395 2006-07-17
1174565600 Svc Dermatology PC Dermatology 305 N Leroy St, Fenton, MI 48430-2729 2006-06-11

Providers in the same taxonomy and state

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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Competitor

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City FENTON
Zip Code 63026

Improve Information

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Dataset Information

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.

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