Craig William Spenner Sr., MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

R1A88 Issued in MO

Practice address

439 S Kirkwood Rd
Siute 206
Kirkwood, MO 63122-6169

Phone

(314) 966-2010

Fax

(314) 966-4825

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Saint Louis University School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Dermatology LLCGroup PAC ID 3678892718, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Dermatology LLC

  • Specialist
  • Saint Louis, MO
  • NPI 1699169086
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1154320877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 S KIRKWOOD RD",
            "address_2": "SIUTE 206",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226169",
            "telephone_number": "314-966-2010",
            "fax_number": "314-966-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 S KIRKWOOD RD",
            "address_2": "SIUTE 206",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226169",
            "telephone_number": "314-966-2010",
            "fax_number": "314-966-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENNER",
        "first_name": "CRAIG",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "R1A88",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070001348",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard D. Snitzer, D.M.D.
• Breanna Snyder
• Solace Care Network LLC
• Alexandra Anne Solaro, MA, LPC
• Spenner Dermatology Inc
• Brenda Sperry, PT
• Sharon Lee Spruell, LPC
• SSM Cardiovascular and Thoracic Services, Inc.
• St Agnes Home
• St Louis Specialty Surgical Center LLC

• Dermatology Physician in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.