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DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC. NPI 1366632697


NPI Information

NPI: 1366632697
Provider Name: DERMATOLOGY AND SKIN CANCER SPECIALISTS, LLC.

Doing Business As: DERMATOLOGY AND SKIN CANCER CENTER - LEE'S SUMMIT

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 26D1023850

Address:
3265 NE RALPH POWELL RD
LEES SUMMIT, MO
ZIP 64064
Phone: (816) 524-4747
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DERMATOLOGY AND SKIN CANCER SPECIALISTS, LLC. is a dermatology in Lees Summit, 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. DERMATOLOGY AND SKIN CANCER SPECIALISTS, LLC. NPI is 1366632697. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dermatology And Skin Cancer Center - Lee's Summit.

The provider's business location address is:

3265 NE RALPH POWELL RD
LEES SUMMIT, MO
ZIP 64064-301
Phone: (816) 524-4747

The provider's authorized official is Glenn Goldstein .
The authorized official title is Medical Director and has the following contact phone number (913) 451-7546.

The CLIA number assigned to this NPI record is 26D1023850 - other - mohs with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 7/1/2015.


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
1207N00000XDermatologyR8C67MISSOURIYes

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
1P730000AMEDICARE PIN
2P730000BMEDICARE PINMISSOURI

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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