PIONEER DERMATOLOGY LLC NPI 1639045321

NPI Information

  • NPI: 1639045321
  • Provider Name: PIONEER DERMATOLOGY LLC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Address: 1324 NE WINDSOR DR
    LEES SUMMIT, MO
    ZIP 64086
  • Phone: (816) 944-1944

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NPI Details

PIONEER DERMATOLOGY 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. PIONEER DERMATOLOGY LLC NPI is 1639045321. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1324 NE WINDSOR DR
LEES SUMMIT, MO
ZIP 64086-477
Phone: (816) 944-1944
Fax: (816) 944-1030

The provider's authorized official is Andrew S. Berg .
The authorized official title is Provider/partner and has the following contact phone number (816) 365-4161.

The enumeration date for this NPI number is 10/11/2025 and was last updated on 11/27/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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