DERMATOLOGY OFFICE PC
NPI 1043462591
Dermatology in Poplar Bluff, MO

Active since October 15, 2008CLIA 26D1098352 · Waiver
1600 W HARPER ST, POPLAR BLUFF, MO 63901(573) 686-4750(573) 686-4753 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology Office Pc NPPES

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

DERMATOLOGY OFFICE PC (NPI 1043462591) is a healthcare organization registered as a dermatology in Poplar Bluff, Missouri and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Vanessa Adams, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1043462591
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY OFFICE PC
Location Address1600 W HARPER STPoplar Bluff, MO 63901-4119
Mailing Address1600 W Harper StPoplar Bluff, MO 63901-4119 · (573) 686-4750
Fax(573) 686-4753
Organization SubpartNo
Authorized OfficialVanessa AdamsOwner/provider · (573) 686-4750
Enumeration DateOctober 15, 2008
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
NPI 1043462591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
1600 W HARPER ST, Poplar Bluff, MO 63901

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 Waiver 26D1098352

Dermatology Office · Poplar Bluff, MO
Active · expires Sep 26, 2026
CLIA Number26D1098352
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorHaley Moss
Laboratory Phone(573) 686-4750
Laboratory LocationDermatology Office1600 W Harper, Poplar Bluff, MO 63901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
1600 W HARPER ST
POPLAR BLUFF, MO 63901
Dentist (General Practice)
1600 W HARPER ST
POPLAR BLUFF, MO 63901

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 Dermatology Office PC's NPI number?

The NPI number for Dermatology Office PC is 1043462591. It was assigned to this organization in the NPPES registry on October 15, 2008.

Where is Dermatology Office PC located?

Dermatology Office PC is located at 1600 W Harper St, Poplar Bluff, MO 63901. The listed phone number is (573) 686-4750.

What is Dermatology Office PC's specialty?

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

Does Dermatology Office PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1098352) is associated with this NPI, valid through September 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology Office PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 3 other insurers list Dermatology Office 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 Dermatology Office PC was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.