Pioneer Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PIONEER DERMATOLOGY LLC

Practice address

1324 NE Windsor Dr
Lees Summit, MO 64086-8477

Phone

(816) 944-1944

Fax

(816) 944-1030

NPI assigned

Oct 11, 2025

Organization subpart

No

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

Authorized official

Name

Andrew S. Berg, PA-CNPI 1548383789

Title

Provider/Partner

Phone

(816) 365-4161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

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

• Andrew Berg, PA-C

  • Physician Assistant
  • Lees Summit, MO
  • NPI 1548383789
  Medicare reassignment Care Compare group NPD Authorized official
• Murphy Remsen Mastin, MD

  • Dermatology Physician
  • Bolivar, MO
  • NPI 1588159917
  Medicare reassignment Care Compare group NPD
• Mary Suii Zahau-Loehner, RN, NP-C

  • Family Nurse Practitioner
  • Lees Summit, MO
  • NPI 1285685040
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764201600000",
    "number": "1639045321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 NE WINDSOR DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640868477",
            "telephone_number": "816-944-1944",
            "fax_number": "816-944-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 NE WINDSOR DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640868477",
            "telephone_number": "816-944-1944",
            "fax_number": "816-944-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-11-27",
        "certification_date": "2025-11-27",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PROVIDER/PARTNER",
        "authorized_official_telephone_number": "816-365-4161",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Reference Laboratory LLC
• Margaret Marie Pilachowski, MS
• Edward Pilgrim
• Jamie Rose Pinney, LMSW
• Kathleen Erin Pinon, RN
• Kelsey Pippitt, D.C.
• Christine J Pitcher, PHARM.D.
• Margaret Pivovar, OT
• Sunday Sue Platt, LPC
• William Allen Poe, M.D.

• Dermatology Physician in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.