Active NPI
Lawrence Feigenbaum, M.D.
- Dermatology Physician
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2017002762
- Practice address
- 304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920 - Phone
- (573) 803-3331
- NPI assigned
- Mar 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2017002762 | MO | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920
Mailing address
304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920
Phone (573) 803-3331
Other practice location 1
5201 Harry Hines Blvd
Graduate Medical Education
Dallas, TX 75235-7708
Phone (214) 590-8058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3009 N Ballas Rd
Saint Louis, MO 63131-2322
Phone (314) 994-0200
304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920
Phone (573) 803-3331
Hospital & facility affiliations
- Missouri Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 919 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 218 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017002762 | MO | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-County Dermatology, Inc | Current | Accepting new patients | |
| Alliance Health and Dermatology, LLC | Dermatology | Current | Accepting new patients |
| Lawrence E. Samuels M.D., Inc. | Dermatology | Current | Accepting new patients |
| Mercy Clinic Dermatology LLC | Dermatology | Past | Accepting new patients |
Locations
222 S Woods Mill Rd
Ste 480N
Chesterfield, MO 63017
Phone (314) 576-7336
222 S Woods Mill Rd
Ste 480
Chesterfield, MO 63017
Phone (314) 306-3818
304 S Mount Auburn Rd
Cpe Girardeau, MO 63703
Phone (573) 334-9933
3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796
3009 N Ballas Rd
Ste 100
Saint Louis, MO 63131
Phone (314) 432-1111
Interoperability endpoints
- midcountydermatology.lawrencefeigenbaum@155062.advancedmd-direct.com
Organizations & group practices 4
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.
-
- Specialist
- Saint Louis, MO
- NPI 1295913028
-
- Dermatology Physician
- Chesterfield, MO
- NPI 1225179724
-
- Dermatology Physician
- Washington, MO
- NPI 1033470745
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580601600000",
"number": "1851633242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S MOUNT AUBURN RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034920",
"telephone_number": "573-803-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 S MOUNT AUBURN RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034920",
"telephone_number": "573-803-3331"
}
],
"practiceLocations": [
{
"address_1": "5201 Harry Hines Blvd",
"address_2": "Graduate Medical Education",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357708",
"country_code": "US",
"telephone_number": "214-590-8058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEIGENBAUM",
"first_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-23",
"last_updated": "2020-02-02",
"certification_date": "2020-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "2017002762",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.