COLUMBIA DERMATOLOGY, INC – Dermatology Physician, NPI 1609960509

COLUMBIA DERMATOLOGY, INC is a healthcare provider. based in Columbia, Missouri. specializing in Dermatology Physician. The organization holds a License No. 107883 (MO). The NPI Number for COLUMBIA DERMATOLOGY, INC is 1609960509

Main info

Organization
Name
COLUMBIA DERMATOLOGY, INC
NPI
1609960509
Phone
(573) 876-1616
Address
401 N KEENE ST
Authorized Official
LINDALL A. PERRY PRESIDENT M.D.
Enumeration Date
3 October 2006
Last Update Date
5 September 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for COLUMBIA DERMATOLOGY, INC

  • Boone Clinic, 401, North Keene Street, Columbia, Boone County, Missouri, 65201, United States

    COLUMBIA, MO 652016625

    Phone: (573) 876-1616

    Fax: (573) 876-1678

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65201)

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Frequently asked questions

Is there an official ID for COLUMBIA DERMATOLOGY, INC in U.S. healthcare records?
The official identifier for COLUMBIA DERMATOLOGY, INC is NPI 1609960509.
Is COLUMBIA DERMATOLOGY, INC shown as active in public data?
Registry records indicate COLUMBIA DERMATOLOGY, INC maintains an active NPI.
What clinical focus is listed for COLUMBIA DERMATOLOGY, INC?
At a glance, COLUMBIA DERMATOLOGY, INC is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with COLUMBIA DERMATOLOGY, INC?
Directory geography for COLUMBIA DERMATOLOGY, INC centers on Columbia, Missouri.
When was this NPI issued?
Enumeration for COLUMBIA DERMATOLOGY, INC is noted as October 3, 2006 where the registry provides it.

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