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Regional Dermatology, LLC

NPI 1396064879ActiveOrganization· Dermatology· Festus, MO

Dermatology in Festus, Missouri, registered in NPPES in May 2010. The authorized official on file is Sarah L. Jensen, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1396064879
StatusActive
Entity typeOrganization
NPI issuedMay 24, 2010
Last updated in NPPESMay 24, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X2006031051MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MO)

Medicare sources and data years

Other Dermatology providers in Festus

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