ALLIANCE HEALTH & DERMATOLOGY – NPI #1790818599
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ALLIANCE HEALTH & DERMATOLOGY is a provider located in CAPE GIRARDEAU, MO. NPPES has assigned the NPI number 1790818599 to ALLIANCE HEALTH & DERMATOLOGY on March 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ALLIANCE HEALTH & DERMATOLOGY is also known by the name C/O RAMIRO ICAZA. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Feb 06, 2020. 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 ALLIANCE HEALTH & DERMATOLOGY below.

NPI Profile for
ALLIANCE HEALTH & DERMATOLOGY

NPI Number
1790818599
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
ALLIANCE HEALTH & DERMATOLOGY
Other Name: C/O RAMIRO ICAZA
Primary location
304 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703-4920
Phone: (573) 803-3331 Fax: (573) 803-2905
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RAMIRO ICAZA
ADMINISTRATOR
Phone: (573) 243-2154
Updated
Certification Date
Feb 06, 2020

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.

Identifiers

Identifiers for ALLIANCE HEALTH & DERMATOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO593695703
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
207Q00000X
- Family Medicine (Primary)
MO MDR7D79

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
CONNECT URL
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
304 S MOUNT AUBURN RD,
CAPE GIRARDEAU, MO 77025-1669