NPIMap

Organization Active NPI

Dermatology Associates, Inc.

  • Dermatology Physician
  • Saint Louis, MO
National Provider Identifier
1205933546
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
36494 Issued in MO
Legal business name
DERMATOLOGY ASSOCIATES, INC.
Practice address
2325 Dougherty Ferry Rd
Ste 201
Saint Louis, MO 63122-3356
Phone
(314) 993-1714
Fax
(314) 993-1718
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Jeffrey T. Beeler
Title
Office Manager
Phone
(314) 993-1714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 36494 MO Primary

Addresses

Primary practice location

2325 Dougherty Ferry Rd
Ste 201
Saint Louis, MO 63122-3356

Mailing address

2325 Dougherty Ferry Rd
Ste 201
Saint Louis, MO 63122-3356
Phone (314) 993-1714

National Provider Directory

National Provider Directory

Locations

1335 Jamie Ln
Bldg B
Waterloo, IL 62298
Phone (618) 939-9900

211 N Meramec Ave
Lbby S
Clayton, MO 63105

845 N New Ballas Ct
Ste 330
Creve Coeur, MO 63141
Phone (314) 744-9078

2325 Dougherty Ferry Rd
Ste 201
Saint Louis, MO 63122
Phone (314) 993-1714

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1205933546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 DOUGHERTY FERRY RD",
            "address_2": "STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223356",
            "telephone_number": "314-993-1714",
            "fax_number": "314-993-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 DOUGHERTY FERRY RD",
            "address_2": "STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223356",
            "telephone_number": "314-993-1714",
            "fax_number": "314-993-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "BEELER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-993-1714"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MO",
            "license": "36494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.