AESTHETIC DERMATOLOGIC SURGERY – NPI #1982897450
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.

AESTHETIC DERMATOLOGIC SURGERY is a dermatologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1982897450 to AESTHETIC DERMATOLOGIC SURGERY on August 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 17 years ago on Aug 27, 2009. 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 AESTHETIC DERMATOLOGIC SURGERY below.

NPI Profile for
AESTHETIC DERMATOLOGIC SURGERY

NPI Number
1982897450
Enumeration Date

(about 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
AESTHETIC DERMATOLOGIC SURGERY
Primary location
9717 LANDMARK PARKWAY DR
SUITE 115
SAINT LOUIS, MO 63127-1628
Phone: (314) 849-7546 Fax: (314) 849-7558
Mailing address
PO BOX 270686
SAINT LOUIS, MO 63127-0686
Phone: (314) 849-7546 Fax: (314) 849-7558
Organization Subpart
No
Authorized Official
ERIN GARDNER
PHYSICIAN/OWNER
Phone: (314) 849-7546
Updated
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)
MO 2001005039
207NS0135X
- Dermatology / Procedural Dermatology
MO 2001005039
207NP0225X
- Dermatology / Pediatric Dermatology
MO 2001005039
207ND0900X
- Dermatology / Dermatopathology
MO 2001005039
207N00000X
- Dermatology
MO 2001005039

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.