John a. Powell Dermatology, LTD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

R6721 Issued in MO

Legal business name

JOHN A. POWELL DERMATOLOGY, LTD

Practice address

1034 So. Brentwood Blvd
Suite 1160
St. Louis, MO 63117-1258

Phone

(314) 863-7080

Fax

(314) 863-1540

NPI assigned

Dec 7, 2009

Last updated

Dec 7, 2009By 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

John A Powell, M.D.NPI 1225072242

Title

M.D. Medical Practice

Phone

(314) 863-7080

Specialties & licenses 1

Addresses

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.

• John A. Powell, M.D.

  • Legal Medicine
  • Richmond Heights, MO
  • NPI 1225072242
  Authorized official Same address or phone

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1508194309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 SO. BRENTWOOD BLVD",
            "address_2": "SUITE 1160",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631171258",
            "telephone_number": "314-863-7080",
            "fax_number": "314-863-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 SO. BRENTWOOD BLVD",
            "address_2": "SUITE 1160",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631171258",
            "telephone_number": "314-863-7080",
            "fax_number": "314-863-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. POWELL DERMATOLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "M.D. MEDICAL PRACTICE",
        "authorized_official_telephone_number": "314-863-7080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "R6721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas G Johans, M.D.
• Jyoti B Johansen, MD
• Kelly Johanson, APRN
• Katelyn Kaur Johar, CF-SLP
• Lubbna Johar, M.D.
• John a. Schleiffarth DDS PC.
• John Andrew Garcia MD PC
• John B Martin MD
• John C. Boain, DDS Dental Care, LLC (Boain Dental Care)
• John Doyle DDS LLC

• 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 Dec 7, 2009; 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.