Dermatology Office PC
NPI 1043462591 · Dermatology Physician · Poplar Bluff, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology Office PC is a Dermatology Physician organization in Poplar Bluff, MO (NPI 1043462591).
Provider details
- NPI number
- 1043462591
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vanessa Adams, Owner/Provider(573) 686-4750
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-10-15
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Frequently asked questions
- What is Dermatology Office PC's NPI number?
- Dermatology Office PC's National Provider Identifier (NPI) is 1043462591, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology Office PC?
- Dermatology Office PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology Office PC located?
- Dermatology Office PC's practice location on file with NPPES is 1600 W Harper St, Poplar Bluff, MO 63901-4119.
- What is Dermatology Office PC's phone number?
- The practice phone number listed in the NPPES registry for Dermatology Office PC is (573) 686-4750.
- Does Dermatology Office PC accept Medicare?
- Dermatology Office PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dermatology Office PC?
- The authorized official listed on Dermatology Office PC's NPPES record is Vanessa Adams, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology Office PC's NPI active?
- Yes — Dermatology Office PC's NPI (1043462591) is active in the NPPES registry as of the last update on 2024-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.