Riverside Dermatology & Spa LLC
NPI 1699262329 · Multi-Specialty Clinic/Center · Hannibal, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Riverside Dermatology & Spa LLC is a Multi-Specialty Clinic/Center organization in Hannibal, MO (NPI 1699262329).
Provider details
- NPI number
- 1699262329
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Linda Cooke, Owner(573) 822-3328
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-04-18
- Last updated
- 2018-04-18
Frequently asked questions
- What is Riverside Dermatology & Spa LLC's NPI number?
- Riverside Dermatology & Spa LLC's National Provider Identifier (NPI) is 1699262329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Riverside Dermatology & Spa LLC?
- Riverside Dermatology & Spa LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Riverside Dermatology & Spa LLC located?
- Riverside Dermatology & Spa LLC's practice location on file with NPPES is 163 Medical Dr, Hannibal, MO 63401-6884.
- What is Riverside Dermatology & Spa LLC's phone number?
- The practice phone number listed in the NPPES registry for Riverside Dermatology & Spa LLC is (573) 822-4428.
- Does Riverside Dermatology & Spa LLC accept Medicare?
- Riverside Dermatology & Spa LLC 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 Riverside Dermatology & Spa LLC?
- The authorized official listed on Riverside Dermatology & Spa LLC's NPPES record is Linda Cooke, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Riverside Dermatology & Spa LLC's NPI active?
- Yes — Riverside Dermatology & Spa LLC's NPI (1699262329) is active in the NPPES registry as of the last update on 2018-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.