DR. CRAIG WILLIAM SPENNER SR. (NPI# 1154320877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154320877 |
| Entity Type | Individual |
| Full Name | DR. CRAIG WILLIAM SPENNER SR. |
| Credential | MD |
| Practice Address |
439 S Kirkwood Rd Siute 206 Kirkwood MO 63122-6169 |
| Practice Telephone | 3149662010 |
| Practice Fax Number | 3149664825 |
| Mailing Telephone | 3149662010 |
| Mailing Fax Number | 3149664825 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2008-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | R1A88 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | 070001348 | 01 |
| Street Address |
439 S KIRKWOOD RD SIUTE 206 |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-6169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696065 | Carolyn Beckham | Physical Therapist | 439 S Kirkwood Rd, Kirkwood, MO 63122-6169 | 2020-07-22 |
| 1124430301 | Luis Alejandro Rosado | Chiropractor | 439 S Kirkwood Rd, Suite 214, Kirkwood, MO 63122-6169 | 2014-05-22 |
| 1578877395 | Spenner Dermatology Inc | Dermatology | 439 S Kirkwood Rd, Suite 206, Kirkwood, MO 63122-6169 | 2010-08-04 |
| 1780912972 | Vicki Sanguinett | Speech-Language Pathologist | 439 S Kirkwood Rd, Suite 204, Kirkwood, MO 63122-6169 | 2009-11-27 |
| 1982899514 | Jacquelynn Cornell | Physical Therapist | 439 S Kirkwood Rd, Ste 100, Kirkwood, MO 63122-6169 | 2007-09-06 |
| 1093931511 | Susan Ring | Physical Therapist | 439 S Kirkwood Rd, 200, Kirkwood, MO 63122-6169 | 2007-04-17 |
| 1457378812 | Toni Annette Goins-crank | Dentist | 439 S Kirkwood Rd, Ste. 205, Kirkwood, MO 63122-6169 | 2006-07-15 |
| 1326083486 | Rehab Missouri, LLC. | Clinic/Center | 439 S Kirkwood Rd, Suite 200, Kirkwood, MO 63122-6100 | 2006-06-20 |
| 1659312155 | Kathryn M Fabbiano | Physical Therapist | 439 S Kirkwood Rd, Ste 200, Kirkwood, MO 63122-6100 | 2006-06-08 |
| 1730165739 | Rehabcare Group East LLC | Clinic/Center | 439 S Kirkwood Rd, Suite 200, Kirkwood, MO 63122 | 2005-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| 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 |
|---|---|---|---|---|
| 1578877395 | Spenner Dermatology Inc | Dermatology | 439 S Kirkwood Rd, Suite 206, Kirkwood, MO 63122-6169 | 2010-08-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CRAIG WILLIAM SPENNER SR..
| 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.