SOUTHEAST MISSOURI DERMATOLOGY, PC
NPI 1013954676
Dermatology in Farmington, MO

Active since June 01, 2006
1223 MAPLE ST, FARMINGTON, MO 63640(573) 760-8811(573) 760-8844 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeast Missouri Dermatology, Pc NPPES

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

SOUTHEAST MISSOURI DERMATOLOGY, PC (NPI 1013954676) is a healthcare organization registered as a dermatology in Farmington, Missouri and active in the NPI registry since June 2006. The organization lists Darrell L Griffin, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1013954676
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTHEAST MISSOURI DERMATOLOGY, PC
Location Address1223 MAPLE STFarmington, MO 63640-7616
Mailing Address1223 Maple StFarmington, MO 63640-7616 · (573) 760-8811 · Fax (573) 760-8844
Fax(573) 760-8844
Organization SubpartNo
Authorized OfficialDarrell L GriffinPhysician/owner · (573) 760-8811
Enumeration DateJune 1, 2006
Last NPPES UpdateDecember 10, 2014
NPI 1013954676 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.

1223 MAPLE ST, Farmington, MO 63640

Other Identifiers 2

Medicare PIN000015472MO
Medicare PINDE9856MO

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

Other Providers at the Same Location NPPES 4

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

Dermatology
1223 MAPLE ST
FARMINGTON, MO 63640
Dermatology
1223 MAPLE ST
FARMINGTON, MO 63640
Dermatology
1223 MAPLE ST
FARMINGTON, MO 63640
Nurse Practitioner
1223 MAPLE ST
FARMINGTON, MO 63640

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 Southeast Missouri Dermatology, PC's NPI number?

The NPI number for Southeast Missouri Dermatology, PC is 1013954676. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Southeast Missouri Dermatology, PC located?

Southeast Missouri Dermatology, PC is located at 1223 Maple St, Farmington, MO 63640. The listed phone number is (573) 760-8811.

What is Southeast Missouri Dermatology, PC's specialty?

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

What insurance does Southeast Missouri 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 2 other insurers list Southeast Missouri 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 Southeast Missouri Dermatology, PC was last updated on December 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.