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

Boonslick Medical Group Inc

Organization Dermatology Physician · NPI 1588662803

Boonslick Medical Group Inc provides Dermatology Physician services 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 →

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

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