Vivo Dermatology and Skin Surgery

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

VIVO DERMATOLOGY AND SKIN SURGERY

Practice address

621 S New Ballas Rd Ste 597a
Saint Louis, MO 63141-8262

Phone

(314) 251-2095

Fax

(314) 251-2096

NPI assigned

Dec 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wei-Wei Huang, MDNPI 1861602757

Title

Founder

Phone

(314) 251-2095

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00319

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wei-Wei Huang, M.D., PH.D.

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1861602757
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Lynette Sandoval, NP

  • Family Nurse Practitioner
  • Waterloo, IL
  • NPI 1093224438

  MO, Single Specialty

  Medicare reassignment Care Compare group NPD
• Rebecca A Sabharwal, PA

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1881967347
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1043857220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 597A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418262",
            "telephone_number": "314-251-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 597A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418262",
            "telephone_number": "314-251-2095",
            "fax_number": "314-251-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVO DERMATOLOGY AND SKIN SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "WEI-WEI",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "314-251-2095",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitas Healthcare Corporation Midwest
• Irena Vivian Vitkovitsky, MD
• Christine Viviano
• Regina L Viviano, CRNA
• Vivid Counseling, LLC
• Nicholas Y. Viyuoh, MD
• Lior Vardi Vizel, MD
• Gregory Riccardo Vlacich, MD
• Gary Vlahovich, D.O.
• Julie Lynn Vlasich, OTR

• Dermatology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.