VITALSKIN MEDICAL GROUP IL PLLC
NPI 1881384915
Dermatology - Dermatopathology in Saint Louis, MO

Active since May 11, 2023
621 S NEW BALLAS RD STE 5002B, SAINT LOUIS, MO 63141(314) 432-3033(314) 995-9985 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vitalskin Medical Group Il Pllc NPPES

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

VITALSKIN MEDICAL GROUP IL PLLC (NPI 1881384915) is a healthcare organization registered as a dermatopathology in Saint Louis, Missouri and active in the NPI registry since May 2023. The organization lists Jeremy Scott Youse, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1881384915
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameVITALSKIN MEDICAL GROUP IL PLLC
Location Address621 S NEW BALLAS RD STE 5002BSaint Louis, MO 63141-8270
Mailing Address1111 W Kenyon Rd Ste BUrbana, IL 61801-1006 · (217) 729-7650
Fax(314) 995-9985
Organization SubpartNo
Authorized OfficialJeremy Scott YouseChief Medical Officer · (217) 729-7650
Enumeration DateMay 11, 2023
NPPES CertifiedMay 11, 2023
NPI 1881384915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Definition
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.
621 S NEW BALLAS RD STE 5002B, Saint Louis, MO 63141

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

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 Vitalskin Medical Group Il PLLC's NPI number?

The NPI number for Vitalskin Medical Group Il PLLC is 1881384915. It was assigned to this organization in the NPPES registry on May 11, 2023.

Where is Vitalskin Medical Group Il PLLC located?

Vitalskin Medical Group Il PLLC is located at 621 S New Ballas Rd Ste 5002B, Saint Louis, MO 63141. The listed phone number is (314) 432-3033.

What is Vitalskin Medical Group Il PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

When was this NPI record last updated?

The NPPES record for Vitalskin Medical Group Il PLLC was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.