OrganizationActive
Dermatology and Mohs Surgery Skin Cancer Center
NPI 1124763479 · Dermatology Physician · Branson, MO
Provider details
- NPI number
- 1124763479
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adrienne Schupbach, Owner/Physician(309) 533-8899
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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
110 Business Park Dr Ste C
Branson, MO 65616-7449
Phone: (417) 336-0033
Fax: (417) 239-0127
Street-level locationGet directions
Mailing address
110 Business Park Dr Ste C
Branson, MO 65616-7449
Additional practice locations (5)
- 520 E 32nd StJoplin, MO 64804-3904Phone: (417) 336-0033Fax: (855) 710-6552
- 914 AlexisLebanon, MO 65536-6802Phone: (417) 336-0033Fax: (855) 710-6552
- 2200 E Cleveland StMonett, MO 65708-6149Phone: (417) 336-0033Fax: (855) 710-6552
- 10101 Stoltz DrRolla, MO 65401-7714Phone: (417) 336-0033Fax: (855) 710-6552
- 1230 E Kingsley St Ste aSpringfield, MO 65804-7231Phone: (417) 336-0033Fax: (855) 710-6552
Registry dates
- Enumerated
- 2022-05-02
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.