O'Fallon Dermatology Specialists, P.C.
NPI 1255468906ActiveOrganization· Specialist· O Fallon, MO
Specialist in O Fallon, Missouri, registered in NPPES in February 2007. The authorized official on file is Angela J. Spray, M.D., Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255468906 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2007 |
| Last updated in NPPES | Mar 22, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 2004004910 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
Other Specialist providers in O Fallon
- 1982777413
- 1871822536
- 1851574537
- 1104939552
- 1649576646
- 1790124378