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MID-MISSOURI DERMATOLOGISTS, INC
NPI 1619302957
Dermatology in Columbia, MO

Active since September 05, 2013
1504 E BROADWAY, COLUMBIA, MO 65201(573) 442-3565(573) 443-2172 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mid-missouri Dermatologists, Inc NPPES

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

MID-MISSOURI DERMATOLOGISTS, INC (NPI 1619302957) is a healthcare organization registered as a dermatology in Columbia, Missouri and active in the NPI registry since September 2013. The organization lists Jerry Edward Foote, President, as its authorized official.

NPPES Registry Identity

NPI1619302957
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMID-MISSOURI DERMATOLOGISTS, INC
Location Address1504 E BROADWAYColumbia, MO 65201-8077
Mailing Address1504 E BroadwayColumbia, MO 65201-8077 · (573) 442-3565 · Fax (573) 443-2172
Phone(573) 442-3565
Fax(573) 443-2172
Organization SubpartNo
Authorized OfficialJerry Edward FootePresident · (573) 442-3565
Enumeration DateSeptember 5, 2013
✔ NPI 1619302957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MO · 30179
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.
1504 E BROADWAY, Columbia, MO 65201
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LAWRENCE M LAMPTON M.D.
Internal Medicine (Pulmonary Disease)
1504 E BROADWAY, SUITE 218
COLUMBIA, MO 65201
Boone County (573) 815-2299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid-Missouri Dermatologists, Inc's NPI number?

The NPI number for Mid-Missouri Dermatologists, Inc is 1619302957. It was assigned to this organization in the NPPES registry on September 5, 2013.

Where is Mid-Missouri Dermatologists, Inc located?

Mid-Missouri Dermatologists, Inc is located at 1504 E Broadway, Columbia, MO 65201. The listed phone number is (573) 442-3565.

What is Mid-Missouri Dermatologists, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Mid-Missouri Dermatologists, Inc was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.