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DERMATOLOGY AT WINGHAVEN, LLC
NPI 1982777413
Specialist in O Fallon, MO

Active since November 15, 2006
5551 WINGHAVEN BLVD, STE 210, O FALLON, MO 63368(636) 561-4613(636) 561-4610 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dermatology At Winghaven, Llc NPPES

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

DERMATOLOGY AT WINGHAVEN, LLC (NPI 1982777413) is a healthcare organization registered as a specialist in O Fallon, Missouri and active in the NPI registry since November 2006. The organization lists Rachel M Qualley, Physician,owner, as its authorized official.

NPPES Registry Identity

NPI1982777413
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY AT WINGHAVEN, LLC
Location Address5551 WINGHAVEN BLVD, STE 210O Fallon, MO 63368-3617
Mailing Address5551 Winghaven Blvd, Ste 210O Fallon, MO 63368-3617 · (636) 561-4613 · Fax (636) 561-4610
Phone(636) 561-4613
Fax(636) 561-4610
Organization SubpartNo
Authorized OfficialRachel M QualleyPhysician,owner · (636) 561-4613
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1982777413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MO · 2004011011
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5551 WINGHAVEN BLVD, O Fallon, MO 63368
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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 17

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

DR. JENNIFER ANN PANASCI MD
Pediatrics
5551 WINGHAVEN BLVD, SUITE 240
O FALLON, MO 63368
St. Charles County (636) 561-5561
ARDIS K ALLISON DO
Pediatrics
5551 WINGHAVEN BLVD, SUITE 240
O'FALLON, MO 63368
St. Charles County (636) 561-5561
ALEXANDER M BOLLIS M.D.
Internal Medicine (Cardiovascular Disease)
5551 WINGHAVEN BLVD, SUITE 132
O FALLON, MO 63368
St. Charles County (636) 695-2514
ALISON H OSWALD MD
Pediatrics
5551 WINGHAVEN BLVD, SUITE 240
O FALLON, MO 63368
St. Charles County (636) 561-5561
MRS. MARCY TURNBULL WHISTON III LPC, NCC
Counselor (Professional)
5551 WINGHAVEN BLVD, SUITE 250
O FALLON, MO 63368
St. Charles County (636) 561-2979
WINGHAVEN PEDIATRICS LLC
Pediatrics
5551 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-5561
WINGHAVEN WOMENS CARE INC.
Obstetrics & Gynecology
5551 WINGHAVEN BLVD, SUITE 260
O FALLON, MO 63368
St. Charles County (636) 928-4884
JENNA A SANDERS ANP-C
Nurse Practitioner (Adult Health)
5551 WINGHAVEN BLVD, STE 290
O FALLON, MO 63368
St. Charles County (636) 695-2575

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 Dermatology At Winghaven, LLC's NPI number?

The NPI number for Dermatology At Winghaven, LLC is 1982777413. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Dermatology At Winghaven, LLC located?

Dermatology At Winghaven, LLC is located at 5551 Winghaven Blvd Ste 210, O Fallon, MO 63368. The listed phone number is (636) 561-4613.

What is Dermatology At Winghaven, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dermatology At Winghaven, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.