Laser & Dermatologic Surgery Center, Inc.
NPI 1801862065ActiveOrganization· Dermatology, MOHS-Micrographic Surgery· Chesterfield, MO
Dermatology, MOHS-Micrographic Surgery in Chesterfield, Missouri, registered in NPPES in February 2006. The authorized official on file is Scott Radle, BS HEALTHCARE ADMIN, Practice Manager.
Overview
| NPI | 1801862065 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2006 |
| Last updated in NPPES | Feb 13, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, MOHS-Micrographic Surgery Primary | 207ND0101X | R6H14 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dermatology, MOHS-Micrographic Surgery providers in Chesterfield
- 1225482839
- 1013912906
- 1326034489
- 1851882716
All Dermatology, MOHS-Micrographic Surgery providers in Missouri →