First Capitol Dermatology, L.L.C. in St. Charles - Mohs-micrographic Surgery
First Capitol Dermatology, L.L.C. - NPI 1730352394
First Capitol Dermatology, L.L.C. is a Mohs-micrographic Surgery in St. Charles, Missouri. First Capitol Dermatology, L.L.C. practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for First Capitol Dermatology, L.L.C. is 1730352394. The last update date is 2017-03-01.
First Capitol Dermatology, L.L.C.'s current location address is 901 S. 5th St., St. Charles, Missouri. You can contact this provider via phone number 6369161300 and fax number 6369161561. The mailing address for First Capitol Dermatology, L.L.C. is 901 S. 5th St., St. Charles, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | First Capitol Dermatology, L.L.C. |
---|---|
Address | 901 S. 5th St., St. Charles, Missouri |
Phone Number | 6369161300 |
Fax Number | 6369161561 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN/ |
---|---|
Authorized Official Name | Clever W. Henry |
Credentials | MD |
Telephone Number | 6369161300 |
NPI Number Detail
NPI Number | 1730352394 |
---|---|
Provider Enumeration Date | 2008-04-03 |
Last Updated Date | 2017-03-01 |
Provider Mailing Address Detail
Address | 901 S. 5th St. |
---|---|
City | St. Charles |
State | Missouri (MO) |
Post Code | 633012416 |
Phone Number | 6369161300 |
Fax Number | 6369161561 |
Provider's Primary Taxonomy Detail
Speciality | Mohs-micrographic Surgery |
---|---|
Taxonomy | 207Nd0101X |
Licence No | R4P68 |
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
203348628 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to First Capitol Dermatology, L.L.C. by the Centers for Medicare & Medicaid Services?
The First Capitol Dermatology, L.L.C. has been assigned the NPI (National Provider Identifier) 1730352394. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where First Capitol Dermatology, L.L.C.'s facilities are situated?
The facilities of First Capitol Dermatology, L.L.C. are physically located at the following address: 901 S. 5Th St., St. Charles, MO, 633012416.
What is First Capitol Dermatology, L.L.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for First Capitol Dermatology, L.L.C. is Mohs-micrographic Surgery, and the corresponding taxonomy classification code for this specialized field is 207Nd0101X.
On what date did First Capitol Dermatology, L.L.C. receive its 1730352394 assignment from the Centers for Medicare & Medicaid Services?
The First Capitol Dermatology, L.L.C. was assigned its 1730352394 on 2008-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding First Capitol Dermatology, L.L.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to First Capitol Dermatology, L.L.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-03-01.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA