Dermatology and Skin Cancer Specialists, LLC.
NPI 1366632697ActiveOrganization· Dermatology· Lees Summit, MO
Dermatology in Lees Summit, Missouri, registered in NPPES in August 2007. The authorized official on file is Glenn Goldstein, M.D., Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1366632697 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2007 |
| Last updated in NPPES | Oct 20, 2025 |
| Certified by provider | Oct 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | R8C67 | 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); Part B Supplier - Clinic/Group Practice (OK) |
|---|
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