UNITED SKIN SPECIALISTS MISSOURI LTD, PC (NPI# 1225482839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225482839 |
| Entity Type | Organization |
| Organization Name | UNITED SKIN SPECIALISTS MISSOURI LTD, PC |
| Other Organization Name | LASER & DERMATOLOGIC SURGERY CENTER |
| Practice Address |
1001 Chesterfield Pkwy E Suite 101 Chesterfield MO 63017-2167 |
| Practice Telephone | 3148783839 |
| Practice Fax Number | 3148786575 |
| Mailing Telephone | 3148783839 |
| Mailing Fax Number | 3148786575 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-06-17 |
| Authorized Official Name | MR. JIM FEINSTEIN (PRESIDENT & COO) |
| Authorized Official Telephone | 7632258536 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Laser & Dermatologic Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639605074 | United Skin Specialists Missouri Ltd, PC | Dermatology | 2 Carlson Pkwy N, Suite 240, Plymouth, MN 55447-4466 | 2017-05-04 |
| 1104368489 | United Skin Specialists Missouri Ltd, PC | Dermatology | 1001 Chesterfield Pkwy E, Suite 201, Chesterfield, MO 63017-2167 | 2016-11-17 |
| 1730621244 | United Skin Specialists Missouri Ltd, PC | Dermatology | 621 S New Ballas Rd, Suite 498a, Saint Louis, MO 63141-8232 | 2016-11-15 |
| 1437512993 | United Skin Specialists Missouri Ltd, PC | Clinic/Center | 1001 Chesterfield Pkwy E, Suite 102, Chesterfield, MO 63017-2167 | 2016-04-01 |
| Street Address |
1001 CHESTERFIELD PKWY E SUITE 101 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-2167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912906 | George J. Hruza | Dermatology | 1001 Chesterfield Pkwy E, Ste 101, Chesterfield, MO 63017-2041 | 2005-06-16 |
| 1104368489 | United Skin Specialists Missouri Ltd, PC | Dermatology | 1001 Chesterfield Pkwy E, Suite 201, Chesterfield, MO 63017-2167 | 2016-11-17 |
| 1437512993 | United Skin Specialists Missouri Ltd, PC | Clinic/Center | 1001 Chesterfield Pkwy E, Suite 102, Chesterfield, MO 63017-2167 | 2016-04-01 |
| 1245566744 | Chesterfield Asc, LLC | Clinic/Center | 1001 Chesterfield Pkwy E, Suite 102, Chesterfield, MO 63017-2041 | 2009-10-19 |
| 1548486194 | Pooja Manjula Swamy Dorward | Dermatology | 1001 Chesterfield Pkwy E, Suite 201, Chesterfield, MO 63017-2167 | 2007-04-18 |
| 1174695464 | Donna Marie Sinibaldi | Physician Assistant | 1001 Chesterfield Pkwy E, Suite 101, Chesterfield, MO 63017-2167 | 2006-11-14 |
| 1295819233 | Julie L. Ring, Dds, PC | Dentist | 1001 Chesterfield Pkwy E, Suite 202, Chesterfield, MO 63017-2041 | 2006-10-25 |
| 1922111533 | Julie Levy Ring | Dentist | 1001 Chesterfield Pkwy E, Suite 202, Chesterfield, MO 63017-2041 | 2006-08-16 |
| 1154371664 | Deborah E Wagner | Physician Assistant | 1001 Chesterfield Pkwy E, Suite 101, Chesterfield, MO 63017-2041 | 2006-05-12 |
| 1801862065 | Laser & Dermatologic Surgery Center, Inc. | Dermatology | 1001 Chesterfield Pkwy E, Suite 101, Chesterfield, MO 63017-2041 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912906 | George J. Hruza | Dermatology | 1001 Chesterfield Pkwy E, Ste 101, Chesterfield, MO 63017-2041 | 2005-06-16 |
| 1801862065 | Laser & Dermatologic Surgery Center, Inc. | Dermatology | 1001 Chesterfield Pkwy E, Suite 101, Chesterfield, MO 63017-2041 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1730352394 | First Capitol Dermatology, L.L.C. | Dermatology | 901 S. 5th St., First Capitol Dermatology, L.L.C., St. Charles, MO 63301-2416 | 2008-04-03 |
| 1124223011 | Ramona Behshad | Dermatology | 2315 Dougherty Ferry Rd Ste 200a, Saint Louis, MO 63122-3383 | 2007-06-19 |
| 1518925312 | Henry W Clever IIi | Dermatology | 901 S 5th St, St Charles, MO 63301 | 2006-05-02 |
| 1891179040 | Forefront Dermatology, S.c. | Dermatology | 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141 | 2015-07-17 |
| 1003290156 | Forefront Dermatology, S.c. | Dermatology | 1223 Maple St, Farmington, MO 63640 | 2015-07-17 |
| 1649542150 | Erickson Skin Surgery & Dermatology, LLC | Dermatology | 555 N New Ballas Rd, Suite 260, Saint Louis, MO 63141-6825 | 2012-01-30 |
| 1184908246 | William G. Hart, Jr., Inc. | Dermatology | 621 S New Ballas Rd, Ste. 676a, Saint Louis, MO 63141-8232 | 2011-10-06 |
| 1326332123 | Ethan C Levin | Dermatology | 969 N Mason Rd Ste 200, Saint Louis, MO 63141-6338 | 2011-06-09 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.