Provider Demographics
NPI:1225482839
Name:UNITED SKIN SPECIALISTS MISSOURI LTD, PC
Entity type:Organization
Organization Name:UNITED SKIN SPECIALISTS MISSOURI LTD, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHWEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-283-3000
Mailing Address - Street 1:33 E 33RD ST FL 12
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5362
Mailing Address - Country:US
Mailing Address - Phone:212-283-3000
Mailing Address - Fax:
Practice Address - Street 1:1001 CHESTERFIELD PKWY E
Practice Address - Street 2:SUITE 101
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-2167
Practice Address - Country:US
Practice Address - Phone:314-878-3839
Practice Address - Fax:314-878-6575
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SDG MGMT COMPANY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-20
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty