NPIMap

Organization Active NPI

United Skin Specialists Missouri LTD, PC

  • Dermatology Physician
  • Chesterfield, MO
National Provider Identifier
1104368489
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
UNITED SKIN SPECIALISTS MISSOURI LTD, PC
Practice address
1001 Chesterfield Pkwy E
Suite 201
Chesterfield, MO 63017-2167
Phone
(636) 532-2422
Fax
(636) 532-2425
NPI assigned
Nov 17, 2016
Organization subpart
Yes
Parent organization
SDG MGMT COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Eric S Schweiger, MDNPI 1396777041
Title
Ceo
Phone
(212) 283-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1001 Chesterfield Pkwy E
Suite 201
Chesterfield, MO 63017-2167

Mailing address

33 E 33Rd St FL 12
New York, NY 10016-5362
Phone (212) 283-3000

Other names 2

  • Schweiger Dermatology Group Doing business as
  • West County Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170123002569 MO Part B Supplier - Clinic/Group Practice 8123310554 Receives reassigned benefits from 18 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chesterfield, MO; Saint Louis, MO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
United Skin Spec Mo LTD PC

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1104368489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E 33RD ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165362",
            "telephone_number": "212-283-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHESTERFIELD PKWY E",
            "address_2": "SUITE 201",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172167",
            "telephone_number": "636-532-2422",
            "fax_number": "636-532-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SKIN SPECIALISTS MISSOURI LTD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SDG MGMT COMPANY, LLC",
        "enumeration_date": "2016-11-17",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "SCHWEIGER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-283-3000",
        "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": [
        {
            "organization_name": "Schweiger Dermatology Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West County Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.