Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Advanced Dermatology of Southeast Missouri PC

Dermatology Physician in Cape Girardeau, MO · enumerated 2009 · authorized official Charles Moon, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770713950

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Registry record

Entity type Organization (Type 2)

Legal business name Advanced Dermatology of Southeast Missouri PC

Practice address 2116 Megan Dr Ste 102, Cape Girardeau, MO, 63701

Phone (573) 335-7546

Fax (573) 335-7550

Enumeration date Jul 22, 2009

Last updated in NPPES Sep 15, 2021

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 2007038037 (MO) Primary

Authorized official

Name Charles Moon

Title President

Phone (573) 335-7546

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Advanced Dermatology of Southeast Missouri PC located?

The practice location on file with NPPES is in Cape Girardeau, MO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-09-15. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Richard Limbert Dermatology Physician · Cape Girardeau, MO NPI 1518222082 Christina Cossou Family Nurse Practitioner · Cape Girardeau, MO NPI 1013459312 Brittany Smith Family Nurse Practitioner · Cape Girardeau, MO NPI 1912736430

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-15.