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CLEAVER DERMATOLOGY PC
NPI 1013452861
Dermatology in Kirksville, MO

Active since January 04, 2017CLIA Certified · 2 labs
1316 COUNTRY CLUB DR, KIRKSVILLE, MO 63501(660) 627-7546(660) 956-7099 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cleaver Dermatology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEAVER DERMATOLOGY PC (NPI 1013452861) is a healthcare organization registered as a dermatology in Kirksville, Missouri and active in the NPI registry since January 2017. The organization holds 2 active CLIA laboratory certificates and lists Crystal K Roberts, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1013452861
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCLEAVER DERMATOLOGY PC
Location Address1316 COUNTRY CLUB DRKirksville, MO 63501-5362
Mailing AddressPo Box 7545Kirksville, MO 63501-7545 · (660) 627-7546 · Fax (660) 956-7099
Phone(660) 627-7546
Fax(660) 956-7099
Organization SubpartNo
Authorized OfficialCrystal K RobertsBilling Specialist · (660) 627-7546
Enumeration DateJanuary 4, 2017
✔ NPI 1013452861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1316 COUNTRY CLUB DR, Kirksville, MO 63501
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 26D0697913

Cleaver Dermatology · Kirksville, MO
Active · expires Mar 21, 2027
CLIA Number26D0697913
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorLloyd J. Cleaver
Laboratory Phone(660) 627-7546
Laboratory LocationCleaver Dermatology1316 Country Club Drive, Kirksville, MO 63501
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 26D2321850

Cleaver Dermatology PC · Trenton, MO
Active · expires Apr 10, 2027
CLIA Number26D2321850
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorJonathan L. Cleaver
Laboratory Phone(660) 627-7546
Laboratory LocationCleaver Dermatology PC3300 E 10th St, Trenton, MO 64683
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS NOYCE DO
Dermatology
1316 COUNTRY CLUB DR
KIRKSVILLE, MO 63501
Adair County (660) 627-7546
JONATHAN LLOYD CLEAVER D.O.
Dermatology
1316 COUNTRY CLUB DR
KIRKSVILLE, MO 63501
Adair County (660) 627-7546
DR. LLOYD J CLEAVER DO
Dermatology
1316 COUNTRY CLUB DR
KIRKSVILLE, MO 63501
Adair County (660) 627-7546
LLOYD J. CLEAVER, D.O., L.L.C.
Dermatology
1316 COUNTRY CLUB DR
KIRKSVILLE, MO 63501
Adair County (660) 627-7546
NATALIE CHRISTINE WADE PA-C
Physician Assistant (Medical)
1316 COUNTRY CLUB DR
KIRKSVILLE, MO 63501
Adair County (660) 627-7546
DAVID WESLEY CLEAVER D.O.
Dermatology
1316 COUNTRY CLUB DR
KIRKSVILLE, MO 63501
Adair County (660) 627-7546
EMILY KOLLMANN D.O., M.S.
Dermatology
1316 COUNTRY CLUB DR
KIRKSVILLE, MO 63501
Adair County (660) 627-7546
AUDELIA EBEN DO
Student in an Organized Health Care Education/Training Program
1316 COUNTRY CLUB DR
KIRKSVILLE, MO 63501
Adair County (660) 627-7546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cleaver Dermatology PC's NPI number?

The NPI number for Cleaver Dermatology PC is 1013452861. It was assigned to this organization in the NPPES registry on January 4, 2017.

Where is Cleaver Dermatology PC located?

Cleaver Dermatology PC is located at 1316 Country Club Dr, Kirksville, MO 63501. The listed phone number is (660) 627-7546.

What is Cleaver Dermatology PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Cleaver Dermatology PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Cleaver Dermatology PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Cleaver Dermatology PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cleaver Dermatology PC was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.