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

Stacy Beaty, MD

Individual provider Dermatology Physician · NPI 1669499638

Stacy Beaty, MD is a Dermatology in St. Louis, Missouri. Graduated from University of Texas Medical Branch at Galveston in 2001, 25 years ago. Practices with Northeast Tarrant Dermatology Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
25
Trained at
University of Texas Medical Branch at Galveston
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1755 S Grand
St. Louis, MO 63104
Phone: (314) 256-3433
Fax: (314) 256-3431
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2005004429 (MO)

Record details

NPI number1669499638
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2001 (25 years in practice)
Group practice Northeast Tarrant Dermatology Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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