STACY GITTEL BLUM (NPI# 1952757007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952757007 |
| Entity Type | Individual |
| Full Name | STACY GITTEL BLUM |
| Credential | D.O. |
| Practice Address |
222 S Woods Mill Rd Ste 480 Chesterfield MO 63017-3625 |
| Practice Telephone | 3145767343 |
| Mailing Telephone | 3145767343 |
| Enumeration Date | 2016-05-08 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 2020010791 | MO | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 5101022303 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174530976 | Stacy D Blum | Family Medicine | 1301 Grundman Blvd Ste A, Nebraska City, NE 68410-3320 | 2006-08-02 |
| Street Address |
222 S WOODS MILL RD STE 480 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| 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 |
|---|---|---|---|---|
| 1437229531 | Dermatology Health Center Inc | Dermatology | 224 So Woodsmill Road, Suite 570 So, Chesterfield, MO 63017 | 2006-11-08 |
| 1558314542 | Dermatology Associates of The Northeast, PC | Dermatology | 745a Route 63, Chesterfield, NH 03443-3604 | 2006-05-18 |
| 1588647747 | Helen Kim-james | Dermatology | 100 Chesterfield Business Pkwy, Suite 110, Chesterfield, MO 63005-1271 | 2005-11-22 |
| 1326034489 | Mark Charles Kory | Dermatology | 16216 Baxter Rd, Suite 200, Chesterfield, MO 63017-4770 | 2005-09-23 |
| 1104368489 | United Skin Specialists Missouri Ltd, PC | Dermatology | 1001 Chesterfield Pkwy E, Suite 201, Chesterfield, MO 63017-2167 | 2016-11-17 |
| 1366706509 | Archway Dermatology, LLC | Dermatology | 224 S Woods Mill Rd, Suite 570s, Chesterfield, MO 63017-3451 | 2012-07-03 |
| 1265703235 | Integrated Dermatology of Chesterfield LLC | Dermatology | 745a Route 63, Chesterfield, NH 03443-3604 | 2012-01-23 |
| 1548486194 | Pooja Manjula Swamy Dorward | Dermatology | 1001 Chesterfield Pkwy E, Suite 201, Chesterfield, MO 63017-2167 | 2007-04-18 |
| 1659594539 | Associates In Dermatology and Cutaneous Surgery Ltd | Dermatology | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2007-04-10 |
| 1568582369 | Mark C. Kory, M.d., P.C. | Dermatology | 16216 Baxter Rd, Suite 200, Chesterfield, MO 63017-4770 | 2007-03-29 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.