DERMATOLOGY AND MOHS SURGERY SKIN CANCER CENTER
NPI 1124763479
Dermatology in Branson, MO

Q: What is Dermatology And Mohs Surgery Skin Cancer Center's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since May 02, 2022CLIA Certified · 4 labs

110 BUSINESS PARK DR STE C, BRANSON, MO 65616(417) 336-0033(417) 239-0127 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Oct 31, 2022, May 2, 2022 (3 updates tracked since 2022).

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About Dermatology And Mohs Surgery Skin Cancer Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY AND MOHS SURGERY SKIN CANCER CENTER (NPI 1124763479) is a healthcare organization registered as a dermatology in Branson, Missouri and active in the NPI registry since May 2022. The organization holds 4 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Adrienne Michele Schupbach, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1124763479

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameDERMATOLOGY AND MOHS SURGERY SKIN CANCER CENTER

Location Address110 BUSINESS PARK DR STE CBranson, MO 65616-7449

Mailing Address110 Business Park Dr Ste CBranson, MO 65616-7449 · (417) 336-0033 · Fax (855) 710-6552

Phone(417) 336-0033

Fax(417) 239-0127

Organization SubpartNo

Authorized OfficialAdrienne Michele SchupbachOwner/physician · (309) 533-8899

Enumeration DateMay 2, 2022

Last NPPES UpdateDecember 17, 20243 updates tracked since enumeration

NPPES CertifiedDecember 17, 2024

✔ NPI 1124763479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

110 BUSINESS PARK DR STE C, Branson, MO 65616

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Secondary Practice Locations 5

Location 11230 E Kingsley St Ste ASpringfield, MO 65804-7231 · Phone (417) 336-0033 · Fax (855) 710-6552

Location 210101 Stoltz DrRolla, MO 65401-7714 · Phone (417) 336-0033 · Fax (855) 710-6552

Location 3914 AlexisLebanon, MO 65536-6802 · Phone (417) 336-0033 · Fax (855) 710-6552

Location 4520 E 32nd StJoplin, MO 64804-3904 · Phone (417) 336-0033 · Fax (855) 710-6552

Location 52200 E Cleveland StMonett, MO 65708-6149 · Phone (417) 336-0033 · Fax (855) 710-6552

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 26D2012523

Dermatology And Mohs Surgery Skin Cancer Center Ll · Branson, MO

Active · expires Apr 25, 2027

CLIA Number26D2012523

Laboratory TypePhysician Office

Certificate Effective DateApril 26, 2025

Certificate Expiration DateApril 25, 2027

Laboratory DirectorAdrienne M. Schupbach

Laboratory Phone(417) 336-0033

Laboratory LocationDermatology And Mohs Surgery Skin Cancer Center Ll110 Business Park Drive Suite C, Branson, MO 65616

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 26D2313478

Dermatology And Mohs Surgery Skin Cancer Center · Lebanon, MO

Active · expires Mar 17, 2027

CLIA Number26D2313478

Laboratory TypePhysician Office

Certificate Effective DateMarch 18, 2025

Certificate Expiration DateMarch 17, 2027

Laboratory DirectorAdrienne M. Schupbach

Laboratory Phone(417) 336-0033

Laboratory LocationDermatology And Mohs Surgery Skin Cancer Center914 Alexis Ave, Lebanon, MO 65536

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 26D2315043

Dermatology And Mohs Surgery Skin Cancer Center · Rolla, MO

Active · expires Feb 24, 2027

CLIA Number26D2315043

Laboratory TypePhysician Office

Certificate Effective DateFebruary 25, 2025

Certificate Expiration DateFebruary 24, 2027

Laboratory DirectorAdrienne M. Schupbach

Laboratory Phone(417) 336-0033

Laboratory LocationDermatology And Mohs Surgery Skin Cancer Center10101 Stoltz Dr, Rolla, MO 65401

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 26D2265865

Dermatology And Mohs Surgery Skin Cancer Center Ll · Springfield, MO

Active · expires May 23, 2027

CLIA Number26D2265865

Laboratory TypePhysician Office

Certificate Effective DateMay 24, 2025

Certificate Expiration DateMay 23, 2027

Laboratory DirectorAdrienne M. Schupbach

Laboratory Phone(417) 336-0033

Laboratory LocationDermatology And Mohs Surgery Skin Cancer Center Ll1230 E Kingsley Suite A, Springfield, MO 65804

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELYSE VERDEYEN PA-C

Physician Assistant