Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boonslick Medical Group Inc

Organization Dermatology Physician · NPI 1588662803

Boonslick Medical Group Inc is a Dermatology Physician in Saint Peters, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

201 Bjc Saint Peters Dr Ste 100
Saint Peters, MO 63376-3091
Phone: (636) 916-8228
Fax: (636) 946-5774
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 430954457 (MO)
Dermatology Physician Taxonomy 207N00000X (MO)
Gastroenterology Physician Taxonomy 207RG0100X (MO)
Obstetrics & Gynecology Physician Taxonomy 207V00000X (MO)

Record details

NPI number1588662803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Cusworth — President, Boonslick Med.Group Inc · (636) 916-8228
NPI enumeratedJuly 11, 2005
Last updated in NPPESJuly 21, 2022
Mailing address201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091

Other providers in Saint Peters