Riverside Dermatology & Spa

  • Single-specialty group
  • Hannibal, MO
  • Core specialty: Dermatology
NPI1699262329PAC ID7214282227Dmand IDNG-MGR-083402
Total HCPs
8
Physicians (MD/DO)
3
Nurses and PAs
5
Executives
5
Practice locations
2
Main site
163 Medical Dr, Hannibal, MO 63401-6884
Main phone
(217) 919-7217
Specialty areas
Dermatology
Website and social

Parent organization

Riverside Dermatology & Spa

Independent practice · Hannibal, Missouri

Find the right contacts among 5 executives and 8 HCPs

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Riverside Dermatology & Spa is a single-specialty medical group with 2 practice locations in Missouri and Oregon

Riverside Dermatology & Spa (Riverside Dermatology & Spa LLC) is based in Hannibal, Missouri, part of Riverside Dermatology & Spa.

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; and Dmand AI Affiliation Data

Daniel Cooke is owner marie everett properties of Riverside Dermatology & Spa

Dmand AI tracks 5 executives and staff leaders at Riverside Dermatology & Spa. Waterfall enrichment finds their professional emails, personal emails and mobile numbers.

Source: Dmand AI Executive Data

Riverside Dermatology & Spa's NPI is 1699262329 and its PAC ID is 7214282227

Identifiers
Primary NPI (Type 2)
1699262329NPI Registry (opens in a new tab)
Medicare PAC ID
7214282227
Dmand ID
NG-MGR-083402
Medicare enrollment
Enrolled (PAC ID on file)
Contact
Main site address
163 Medical Dr, Hannibal, MO 63401-6884
Main phone
(217) 919-7217
Executive emails and mobiles
Get contacts
Classification
Group type
Single-specialty
Core specialty
Dermatology
Site structure
Multi-site
Ownership model
Clinician owned
Leadership
Physician-led
Medicare Part B payments
$2.4M
Legal name
Riverside Dermatology & Spa LLC

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; Dmand AI Organization Profile Data; and Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data

Riverside Dermatology & Spa is part of Riverside Dermatology & Spa

Dmand AI places Riverside Dermatology & Spa under Riverside Dermatology & Spa, an independent practice.

  • Riverside Dermatology & SpaIndependent practice
  • Riverside Dermatology & SpaSingle-specialty medical group · Hannibal, MO

Source: Dmand AI Org Hierarchy Data

Org hierarchy

Map Riverside Dermatology & Spa's entire network

See how Riverside Dermatology & Spa connects to Riverside Dermatology & Spa: its parent organizations, sister groups and every site of care in between, with the HCPs and leaders at each one.

Riverside Dermatology & Spa has 3 physicians among 8 HCPs

Physicians (MD, DO)3
Nurses4
Physician assistants1

Riverside Dermatology & Spa physicians by specialty

  1. Dermatology1
  2. Family medicine1
  3. Mohs-micrographic surgery1

Share of the group's 3 physicians.

Riverside Dermatology & Spa physicians

View all 8 HCPs

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data

Riverside Dermatology & Spa has 2 practice locations in Missouri and Oregon

Riverside Dermatology & Spa practice locations

Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data

Full footprint

See every site where Riverside Dermatology & Spa HCPs practice

Open all 2 practice locations with facility phones, patient visits and the HCPs at each site.

Riverside Dermatology & Spa is a dermatology group

Dermatology is Riverside Dermatology & Spa's core specialty, with dermatology as its main practice type.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data

Dmand AI tracks 2 EHR vendors at Riverside Dermatology & Spa

Vendor and product names for each practice location are available with a free account.

EHR systems at Riverside Dermatology & Spa
SiteEHR vendorProduct
Main siteAvailable with a free accountAvailable with a free account
1 other practice locationAvailable with a free accountAvailable with a free account

Source: Dmand AI Technology Install Data

Dermatology groups in Missouri similar in size to Riverside Dermatology & Spa

These dermatology groups have the closest number of HCPs to Riverside Dermatology & Spa.

See all 32 dermatology groups in Missouri

Sources: Dmand AI Affiliation Data; and Dmand AI Peer Benchmarks

Sources for Riverside Dermatology & Spa data

Sources for the data on this page
Data on this pageSource
NPI, PAC ID and addressNPPES NPI Registry (CMS) (opens in a new tab)Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Dmand ID, phone, website, LinkedIn and group profileDmand AI Org Hierarchy DataDmand AI Organization Profile Data
Medicare Part B paymentsMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
Parent organizations and sister groupsDmand AI Org Hierarchy Data
HCPs and physician specialtiesNPPES NPI Registry (CMS) (opens in a new tab)Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data
Specialty areasDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data
Practice locations and hospitalsDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data
Executives and departmentsDmand AI Executive Data
EHR vendorsDmand AI Technology Install Data
Similar groupsDmand AI Affiliation DataDmand AI Peer Benchmarks

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Riverside Dermatology & Spa

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Riverside Dermatology & Spa's NPI number?

Riverside Dermatology & Spa's primary NPI (Type 2) is 1699262329.

What is Riverside Dermatology & Spa's PAC ID?

Riverside Dermatology & Spa's Medicare PAC ID is 7214282227, which means the group is enrolled in Medicare.

How many locations does Riverside Dermatology & Spa have?

Dmand AI links Riverside Dermatology & Spa to 2 practice locations in Missouri and Oregon. Its main site is at 163 Medical Dr, Hannibal, MO 63401-6884.

What is Riverside Dermatology & Spa's phone number?

Riverside Dermatology & Spa's main phone number is (217) 919-7217.

Who owns Riverside Dermatology & Spa?

Dmand AI places Riverside Dermatology & Spa under Riverside Dermatology & Spa, an independent practice.

How many physicians does Riverside Dermatology & Spa have?

Dmand AI links 3 physicians and 8 HCPs in all to Riverside Dermatology & Spa.

What specialties does Riverside Dermatology & Spa cover?

Riverside Dermatology & Spa is a dermatology group. The largest physician specialties are dermatology (1), family medicine (1) and mohs-micrographic surgery (1).

Who leads Riverside Dermatology & Spa?

Leaders at Riverside Dermatology & Spa include Daniel Cooke (Owner Marie Everett Properties).

How much does Riverside Dermatology & Spa receive from Medicare?

CMS data shows $2.4 million in Medicare Part B payments to Riverside Dermatology & Spa.

Selling to dermatology groups?

See Riverside Dermatology & Spa from parent organization to every site of care

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