OrganizationActive
Dermatology at Winghaven, LLC
NPI 1982777413 · Specialist · O Fallon, MO
Dermatology at Winghaven, LLC is a Specialist organization in O Fallon, MO (NPI 1982777413).
Provider details
- NPI number
- 1982777413
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Rachel Qualley, Physician,owner(636) 561-4613
- License
- 2004011011 (MO)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
5551 Winghaven Blvd
Ste 210
O Fallon, MO 63368-3617
Phone: (636) 561-4613
Fax: (636) 561-4610
Street-level locationGet directions
Mailing address
5551 Winghaven Blvd
O Fallon, MO 63368-3617
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2020-08-22
Frequently asked questions
- What is Dermatology at Winghaven, LLC's NPI number?
- Dermatology at Winghaven, LLC's National Provider Identifier (NPI) is 1982777413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology at Winghaven, LLC?
- Dermatology at Winghaven, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Dermatology at Winghaven, LLC located?
- Dermatology at Winghaven, LLC's practice location on file with NPPES is 5551 Winghaven Blvd, O Fallon, MO 63368-3617.
- What is Dermatology at Winghaven, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dermatology at Winghaven, LLC is (636) 561-4613.
- Who is the authorized official for Dermatology at Winghaven, LLC?
- The authorized official listed on Dermatology at Winghaven, LLC's NPPES record is Rachel Qualley, Physician,owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology at Winghaven, LLC's NPI active?
- Yes — Dermatology at Winghaven, LLC's NPI (1982777413) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.