RAFFAELE PENNELLA MD LLC – NPI #1568992782
Dermatology

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Health Care Provider Taxonomy Code for Dermatology

RAFFAELE PENNELLA MD LLC is a dermatologist located in SPRINGFIELD, MO. NPPES has assigned the NPI number 1568992782 to RAFFAELE PENNELLA MD LLC on June 20, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0900X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Dermatopathology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 RAFFAELE PENNELLA MD LLC below.

NPI Profile for
RAFFAELE PENNELLA MD LLC

NPI Number
1568992782
Enumeration Date

(about 9 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
RAFFAELE PENNELLA MD LLC
Primary location
3808 S GREYSTONE CT
SPRINGFIELD, MO 65804-6561
Phone: (417) 889-3332 Fax: (417) 881-1410
Mailing address
3808 S. GREYSTONE CT
SPRINGFIELD, MO 65804
Phone: (417) 889-3332 Fax: (417) 881-1410
Organization Subpart
No
Authorized Official
RAFFAELE PENNELLA
PHYSICIAN/OWNER
Phone: (417) 889-3332
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
207ND0900X
- Dermatology / Dermatopathology (Primary)		 MO 110288

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.