Brooke N Shadel
DERMATOLOGICAL CARE, INC.


Address: 10012 Kennerly Rd, Suite 401, Saint Louis, MO 63128-2197
Phone: 3148425660

Brooke N Shadel (NPI# 1134327018, PAC ID# 5496933251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1134327018
PAC ID by PECOS 5496933251
Professional Enrollment ID I20120501000396
Full Name Brooke N Shadel
Organization Legal Name DERMATOLOGICAL CARE, INC.
Address 10012 Kennerly Rd
Suite 401
Saint Louis
MO 63128-2197
Phone Number 3148425660
Gender F
Medical School SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2007
Primary Specialty DERMATOLOGY
Group Practice PAC ID 1153303011
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
10012 Kennerly Rd, Suite 401, Saint Louis, MO 63128-2197 3148425660 DERMATOLOGICAL CARE, INC.

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_138_overall Melanoma: Coordination of Care 100%
MIPS_EC_224_overall Melanoma: Overutilization of Imaging Studies in Melanoma 100%
MIPS_EC_265_overall Biopsy Follow-Up 100%

Organization Information

Organization Legal Name DERMATOLOGICAL CARE, INC.
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Lawrence L Wang Dermatology Dermatological Care, Inc. 10012 Kennerly Rd, Suite 401, Saint Louis, MO 63128-2197
Regina C Bowers Dermatology Dermatological Care, Inc. 10012 Kennerly Rd, Suite 401, Saint Louis, MO 63128-2197
Charles W Miller Dermatology Dermatological Care, Inc. 10012 Kennerly Rd, Suite 401, Saint Louis, MO 63128-2197

Office Location

Street Address 10012 KENNERLY RD
SUITE 401
City SAINT LOUIS
State MO
Zip 63128-2197

Physicians in the same location

Name Specialty Organization Address
Michele R Yu Nurse Practitioner The Heart Specialty Associates LLC 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197
Yazan A Abdalla Gastroenterology St Anthony's Physician Organization 10012 Kennerly Rd, Suite 404, Saint Louis, MO 63128-2197
Jeane E Kiene Nurse Practitioner The Heart Specialty Associates LLC 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197
Thomas B Morrison Cardiovascular Disease (cardiology) The Heart Specialty Associates LLC 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197
Amy E Moran Nurse Practitioner The Heart Specialty Associates LLC 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197
Lesley M Endermuhle Nurse Practitioner The Heart Specialty Associates LLC 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197
Tina L Mooney Nurse Practitioner The Heart Specialty Associates LLC 10012 Kennerly Rd, Suite 403, Saint Louis, MO 63128-2197
Jamie Christine Joyce Obstetrics/gynecology St Anthony's Physician Organization 10012 Kennerly Rd, Suite 405, Saint Louis, MO 63128-2197
Leslie E Foss Nurse Practitioner The Heart Specialty Associates LLC 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197
Diane M Stierwalt Nurse Practitioner The Heart Specialty Associates LLC 10012 Kennerly Rd, Suite 403, Saint Louis, MO 63128-2197
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Physicians in the same zip code

Name Specialty Organization Address
Rachel M Ott Nurse Practitioner St Anthony's Physician Organization 12700 Kennerly Rd, Suite 220, Saint Louis, MO 63128
Shephali H Wulff Infectious Disease Infectious Diseases PC 330 1st Capitol Dr, Suite 260, St Charles, MO 63128
Marie E Wehner Optometry Vision Care Consultants Inc 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250
David Brian Seibel Optometry Vision Care Consultants Inc 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250
Craig Mathew Brawley Optometry Vision Care Consultants Inc 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250
John D Friederich Optometry Vision Care Consultants Inc 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250
Michelle E Nogalski Physical Therapy Prorehab PC 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307
Yvonne M Layugan Family Medicine 123 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307
Megan R Anna Physical Therapy Prorehab PC 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307
Christopher J Tabor Physical Therapy The Physical Therapy Center, Inc. 12048 Tesson Ferry Rd, Saint Louis, MO 63128-1727
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Competitor

Search similar physicians

City SAINT LOUIS
Zip Code 63128
Specialty DERMATOLOGY
City + Specialty SAINT LOUIS + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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