SLUCARE DEPT OF DERMATOLOGY-MOHS SURGERY – NPI #1962624585
Dermatology

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 healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

SLUCARE DEPT OF DERMATOLOGY-MOHS SURGERY is a dermatologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1962624585 to SLUCARE DEPT OF DERMATOLOGY-MOHS SURGERY on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SLUCARE DEPT OF DERMATOLOGY-MOHS SURGERY” is a dba name, the actual legal business name for this organization is ST LOUIS UNIVERSITY. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 5 years ago on Sep 21, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SLUCARE DEPT OF DERMATOLOGY-MOHS SURGERY below.

NPI Profile for
ST LOUIS UNIVERSITY

NPI Number
1962624585
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST LOUIS UNIVERSITY
Doing Business As (dba): SLUCARE DEPT OF DERMATOLOGY-MOHS SURGERY
Primary location
1225 SOUTH GRAND, 2L, DOOR 3,4,5
SAINT LOUIS, MO 63104
Phone: (314) 977-3400 Fax:
1 Other location(s):
1755 S Grand Blvd
Saint Louis, MO 63104-1540
Phone: (314) 256-3400
Mailing address
3545 LINDELL BLVD FL 3
SAINT LOUIS, MO 63103-1020
Phone: (314) 977-6828 Fax:
Organization Subpart
No
Authorized Official
ALYCE LANXON
EXECUTIVE DIRECTOR
Phone: (314) 977-6828
Updated
Certification Date
Sep 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.