Susan Akers Blattel, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

101563 Issued in MO

Practice address

1001 Chesterfield Pkwy E
Suite 201
Chesterfield, MO 63017-2167

Phone

(636) 532-2422

Fax

(636) 532-2425

NPI assigned

Aug 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Marie Akers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epiphany Dermatology of Missouri, LLC

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1528573342
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1801889357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CHESTERFIELD PKWY E",
            "address_2": "SUITE 201",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172167",
            "telephone_number": "636-532-2422",
            "fax_number": "636-532-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHESTERFIELD PKWY E",
            "address_2": "SUITE 201",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172167",
            "telephone_number": "636-532-2422",
            "fax_number": "636-532-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATTEL",
        "first_name": "SUSAN",
        "middle_name": "AKERS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "101563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "AKERS",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan H Blackburne, M.D.
• Angela Blackshear, SLP
• Helen Maureen Blake, M.D.
• Chris Feightner Blanner, MD
• Elizabeth Blanzy, MSN, APRN, FNP-BC
• Blink Health Pharmacy LLC
• Sarah Elizabeth Bloch, RN, MSN, FNP
• Amy Louise Bloomfield, PA
• Bluetail Biologics LLC
• Bluetail Medical Group, LLC.

• Dermatology Physician in Chesterfield, MO
• Providers in Chesterfield, 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 3, 2012; 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.