Dermatology Center of Columbia, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY CENTER OF COLUMBIA, LLC

Doing business as

Dermatology Center of Columbia

Practice address

204 N Keene St Ste 100
Columbia, MO 65201-8136

Phone

(573) 442-0320

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Kaitlin Schiavo, MDNPI 1508248576

Title

Physician/ Owner

Phone

(573) 673-2496

Specialties & licenses 1

Addresses

Other names 2

• Dermatology Center of Columbia Doing business as
• Columbia Dermatology and Cosmetic Surgery, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Kaitlin Ann Schiavo, MD

  • Dermatology Physician
  • Columbia, MO
  • NPI 1508248576

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Brittany Reed

  • Medical Physician Assistant
  • Columbia, MO
  • NPI 1649926270
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1982261947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N KEENE ST STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018136",
            "telephone_number": "573-442-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N KEENE ST STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018136",
            "telephone_number": "573-442-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CENTER OF COLUMBIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "SCHIAVO",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "573-673-2496",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Center of Columbia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbia Dermatology and Cosmetic Surgery, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dental Wellness Partners LLC
• Dental Wellness Partners LLC
• Amy Dentlinger, PA
• Department of Neurology
• Regina Heyl Depietro, M.D.
• Christopher J Derose, O.D.
• Bret Sheridan Derrick, PT, DPT, OCS
• Karen Derrick, RD
• Justin Michael Dersch, M.D.
• Leslie Joan Desha, FNP

• Dermatology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.