Derm-Care PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

R8F97 Issued in MO

Legal business name

DERM-CARE PC

Doing business as

Dr Elsa Gutierrez

Practice address

522 N New Ballas Rd
Suite 180
Saint Louis, MO 63141-6857

Phone

(314) 991-8700

Fax

(314) 991-8790

NPI assigned

Jul 31, 2006

Last updated

Aug 22, 2020By 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

Elsa Gutierrez, MDNPI 1366438061

Title

Medical Doctor

Phone

(314) 991-8700

Specialties & licenses 1

Addresses

Other names 1

• Dr Elsa Gutierrez Doing business as

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.

• Elsa D Gutierrez, MD

  • Specialist
  • Saint Louis, MO
  • NPI 1366438061
  Authorized official Same address or phone

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487660692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD",
            "address_2": "SUITE 180",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416857",
            "telephone_number": "314-991-8700",
            "fax_number": "314-991-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD",
            "address_2": "SUITE 180",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416857",
            "telephone_number": "314-991-8700",
            "fax_number": "314-991-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERM-CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "314-991-8700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MO",
            "license": "R8F97",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Elsa Gutierrez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eboni L Deramus
• Kristen Alice Derderian, CNP
• Jose Javier Derdoy, MD
• McKenzie Taylor Derennaux, RD, LD
• Nichole Leanne Derhake, PNP
• Dermatological Care, Inc.
• Dermatology and Cutaneous Surgery, Inc
• Dermatology Associates, Inc.
• Dermatology Consultants, P.C. (Fred D. Bauschard, M.D.)
• Elizabeth Catherine Dermody

• 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 Aug 22, 2020; 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.