Craig Spenner (NPI# 1154320877, PAC ID# 0840358339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1154320877 |
| PAC ID by PECOS | 0840358339 |
| Professional Enrollment ID | I20081028000513 |
| Full Name | Craig Spenner |
| Organization Legal Name | PREMIER DERMATOLOGY LLC |
| Address |
439 S Kirkwood Rd Suite 206 Kirkwood MO 63122-6100 |
| Phone Number | 3149662010 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3678892718 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 439 S Kirkwood Rd, Suite 206, Kirkwood, MO 63122-6100 | 3149662010 | PREMIER DERMATOLOGY LLC |
| Organization Legal Name | PREMIER DERMATOLOGY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine B Edwards | Physician Assistant | Premier Dermatology LLC | 456 N New Ballas, Suite 118, Saint Louis, MO 63141-6812 |
| Jeffrey T Reed | Dermatology | Premier Dermatology LLC | 439 S Kirkwood Rd, Suite 206, Kirkwood, MO 63122-6100 |
| Lisa R Burgard | Nurse Practitioner | Premier Dermatology LLC | 439 S Kirkwood Rd, Suite 206, Kirkwood, MO 63122-6100 |
| Street Address |
439 S KIRKWOOD RD SUITE 206 |
| City | KIRKWOOD |
| State | MO |
| Zip | 63122-6100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey T Reed | Dermatology | Premier Dermatology LLC | 439 S Kirkwood Rd, Suite 206, Kirkwood, MO 63122-6100 |
| Jeffrey S Oguin | Chiropractic | 439 S Kirkwood Rd, Suite 100, St Louis, MO 63122-6170 | |
| Lisa R Burgard | Nurse Practitioner | Premier Dermatology LLC | 439 S Kirkwood Rd, Suite 206, Kirkwood, MO 63122-6100 |
| Colette S Weber | Podiatry | 439 S Kirkwood Rd, Suite 208, St Louis, MO 63122-6100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank J Mistretta | Chiropractic | 11229 Manchester Rd, Saint Louis, MO 63122-1122 | |
| Deborah G Lavender | Physical Therapy | 11247 Manchester Rd, Kirkwood, MO 63122-1122 | |
| Linda Patton Walsh | Physical Therapy | Transfiguration Inc | 11247 Manchester Rd, Kirkwood, MO 63122-1122 |
| James W Hankinson | Chiropractic | 11216 Manchester Rd, Kirkwood, MO 63122-1123 | |
| John T Scarlas | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Russell W Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Sherry K Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Dawn Gross | Clinical Social Worker | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | |
| Lorie M Mcreynolds | Optometry | 11023 Manchester Rd, Kirkwood, MO 63122-1254 | |
| Sidney D Ybarra | Chiropractic | 11029 Manchester Rd, Saint Louis, MO 63122-1254 | |
| Find all physicians in zip 63122 | |||
| City | KIRKWOOD |
| Zip Code | 63122 |
| Specialty | DERMATOLOGY |
| City + Specialty | KIRKWOOD + DERMATOLOGY |
Please comment or provide details below to improve the information on Craig Spenner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.