Midwest Dermal Specialist

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

132832 Issued in MO

Legal business name

MIDWEST DERMAL SPECIALIST

Practice address

1423 Villas Estates Dr
Fenton, MO 63026-3284

Phone

(314) 954-5568

Fax

(636) 825-9568

NPI assigned

Apr 10, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Tammie Marie Auer, REGISTERED NURSE

Title

Owner

Phone

(314) 954-5568

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1689817322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 VILLAS ESTATES DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263284",
            "telephone_number": "314-954-5568",
            "fax_number": "636-825-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 VILLAS ESTATES DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263284",
            "telephone_number": "314-954-5568",
            "fax_number": "636-825-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DERMAL SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "AUER",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-954-5568",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": "132832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Messer, LPC
• Metro Foot Specialists, LLC
• Lindsey Metz
• Maura Cella Meyers, OTR/L
• Mid Ameriaca Health Care
• Midwest Emergency Associates-Fenton, LLC
• Victoria Milligan-Cox
• Patricia A. Mills, MD
• Vladimir Milo, M.D.
• Mary Mirth, PT

• Nursing Care Agency in Fenton, MO
• Providers in Fenton, MO by specialty
• Nursing Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.