DERMATOLOGY AND CUTANEOUS SURGERY INC NPI 1629043534

NPI Information

  • NPI: 1629043534
  • Provider Name: DERMATOLOGY AND CUTANEOUS SURGERY, INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 26D0440495
  • Address: 621 S NEW BALLAS RD
    498A
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 251-3376

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NPI Details

DERMATOLOGY AND CUTANEOUS SURGERY, INC is a specialist in Saint Louis, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DERMATOLOGY AND CUTANEOUS SURGERY, INC NPI is 1629043534. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

621 S NEW BALLAS RD
498A
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-3376
Fax: (314) 251-5781

The provider's authorized official is Michael E Mccadden .
The authorized official title is Owner President and has the following contact phone number (314) 251-3376.

The CLIA number assigned to this NPI record is 26D0440495 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 11/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistBM0655588MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A14101MEDICARE UPIN
20002011318MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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