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SAINT LOUIS CONNECTCARE NPI 1396703278


NPI Information

NPI: 1396703278
Provider Name: SAINT LOUIS CONNECTCARE
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
5535 DELMAR BOULEVARD
SAINT LOUIS, MO
ZIP 63112
Phone: (314) 879-6363
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SAINT LOUIS CONNECTCARE is a dermatology in Saint Louis, MO. The provider is 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. SAINT LOUIS CONNECTCARE NPI is 1396703278. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5535 DELMAR BOULEVARD
SAINT LOUIS, MO
ZIP 63112-005
Phone: (314) 879-6363
Fax: (314) 879-6372

The provider's authorized official is Melody Eskridge .
The authorized official title is President and has the following contact phone number (314) 879-6234.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 7/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
3207RG0100XInternal MedicineGastroenterologyNo
4207RI0200XInternal MedicineInfectious DiseaseNo
5207RN0300XInternal MedicineNephrologyNo
6207RP1001XInternal MedicinePulmonary DiseaseNo
7207RR0500XInternal MedicineRheumatologyNo
8207V00000XObstetrics & GynecologyNo
9207Y00000XOtolaryngologyNo
102084P0800XPsychiatry & NeurologyPsychiatryNo
112085B0100XRadiologyBody ImagingNo
12208800000XUrologyNo
13208C00000XColon & Rectal SurgeryNo
14207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500567508MEDICAIDMISSOURI
212931MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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