RACHEL MARIE QUALLEY (NPI# 1518078567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518078567 |
| Entity Type | Individual |
| Full Name | RACHEL MARIE QUALLEY |
| Credential | M.D. |
| Practice Address |
9209 Phoenix Village Pkwy O Fallon MO 63368-4280 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 6365614613 |
| Practice Fax Number | 6365614610 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 2004011011 | MO | Other Service Providers |
| Y | 207N00000X | Dermatology | 2019032056 | MO | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 59221 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Madison Ave, Suite 400a, Mankato, MN 560015473 | 5076251811 | |
| 8567 Watson Rd Ste A, Webster Groves, MO 631195251 | 3145289040 | 3145289041 |
| Street Address |
9209 PHOENIX VILLAGE PKWY |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-4280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689039836 | Forefront Dermatology, S.c. | Dermatology | 9209 Phoenix Village Pkwy, O Fallon, MO 63368 | 2015-12-15 |
| 1003293762 | Shannon M Wood | Nurse Practitioner | 9209 Phoenix Village Pkwy, O Fallon, MO 63368-4280 | 2015-05-01 |
| 1255516134 | Amee Minton Rozanc | Physician Assistant | 9209 Phoenix Village Pkwy, O Fallon, MO 63368-4280 | 2008-01-09 |
| 1013030949 | Rebecca J. Smith | Physician Assistant | 9209 Phoenix Village Pkwy, O Fallon, MO 63368-4280 | 2007-04-07 |
| 1326140492 | Deana Lyn Kadyk | Dermatology | 9209 Phoenix Village Pkwy, O Fallon, MO 63368-4280 | 2006-09-01 |
| 1457462418 | Robyn Michelle Fanderclai | Dermatology | 9209 Phoenix Village Pkwy, O Fallon, MO 63368-4280 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285727461 | Saadia Taufiq Raza | Dermatology | 856 Waterbury Falls Dr, Suite 100, O Fallon, MO 63368-2215 | 2006-10-02 |
| 1477599884 | Angela J Spray | Dermatology | 7136 S Outer Road 364, O Fallon, MO 63368-7756 | 2006-06-22 |
| 1245616309 | Forefront Dermatology, S.c. | Dermatology | 5551 Winghaven Blvd, Suite 210, O Fallon, MO 63368 | 2015-07-30 |
| 1326140492 | Deana Lyn Kadyk | Dermatology | 9209 Phoenix Village Pkwy, O Fallon, MO 63368-4280 | 2006-09-01 |
| 1457462418 | Robyn Michelle Fanderclai | Dermatology | 9209 Phoenix Village Pkwy, O Fallon, MO 63368-4280 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605906 | Deluxe Dermatology LLC | Dermatology | 1034 S Brentwood Blvd Ste 1000, Saint Louis, MO 63117-1210 | 2020-10-03 |
| 1811510886 | Yoon Dermatology LLC | Dermatology | 1060 Meyer Rd, Wentzville, MO 63385-3800 | 2020-05-25 |
| 1417597923 | Anna Marie Aiazzi | Dermatology | 10012 Kennerly Rd Ste 401, Saint Louis, MO 63128-2197 | 2020-01-13 |
| 1790330371 | Baydon Earl Hilton | Dermatology | 1003 Kings Rd, Kirksville, MO 63501-2627 | 2019-08-09 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1528537057 | Cayce Medical Spa, Inc | Dermatology | 2001 Corona Rd Ste 201, Columbia, MO 65203-5924 | 2018-11-14 |
| 1396226981 | Nicole Betty | Dermatology | 413 W Water Street, Greenfield, MO 65661 | 2018-08-22 |
| 1366946832 | Novahealth Medical Group, LLC | Dermatology | 3208 Lemone Industrial Blvd Ste A, Columbia, MO 65201-8244 | 2018-03-20 |
| 1952757007 | Stacy Gittel Blum | Dermatology | 222 S Woods Mill Rd Ste 480, Chesterfield, MO 63017-3625 | 2016-05-08 |
| 1508248576 | Kaitlin Ann Schiavo | Dermatology | 204 N Keene St Ste 100, Columbia, MO 65201-8136 | 2015-06-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.