Colton Health Mo LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

COLTON HEALTH MO LLC

Doing business as

Accurate Skin Clinic

Practice address

10004 Kennerly Road
Suite 210a
St Louis, MO 63128-5116

Phone

(314) 842-3525

Fax

(314) 842-3337

NPI assigned

Apr 15, 2021

Last updated

Apr 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sukhjit Ghuman

Title

Owner

Phone

(480) 609-4200

Specialties & licenses 1

Addresses

Other names 1

• Accurate Skin Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sam A. Samimi, M.D.

  • Dermatology Physician
  • Anaheim, CA
  • NPI 1093813347
  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1225619844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE AVE",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606276",
            "telephone_number": "480-553-6263",
            "fax_number": "480-609-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY ROAD",
            "address_2": "SUITE 210A",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631285116",
            "telephone_number": "314-842-3525",
            "fax_number": "314-842-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLTON HEALTH MO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "GHUMAN",
        "authorized_official_first_name": "SUKHJIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-609-4200"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accurate Skin Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Accurate Skin Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colorectal Specialists, PC
• Cassandra Bates Colquitt, B.A.
• Janette Colquitt
• Lashawn Colquitt
• Eve Ruth Colson, MD
• Adrienne Michelle Columbus, MSW
• Bryanne Noel Colvin, MD
• Grant Matthew Colvin, LCSW
• Loretta Jane Colvin, APRN, BC
• Miata Victoria Colvin

• 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 16, 2021; 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.