O'FALLON DERMATOLOGY SPECIALISTS, P.C.
NPI 1255468906
Specialist in O Fallon, MO

Q: What is O'fallon Dermatology Specialists, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 28, 2007CLIA 26D1029931 · Microscopy

7136 S OUTER ROAD 364, O FALLON, MO 63368(636) 561-3277(636) 561-5280 Get Directions Write a Review

NPPES record last updated: March 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About O'fallon Dermatology Specialists, P.c. NPPES

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

O'FALLON DERMATOLOGY SPECIALISTS, P.C. (NPI 1255468906) is a healthcare organization registered as a specialist in O Fallon, Missouri and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through August 25, 2026 and lists Angela J Spray, Physician, as its authorized official.

NPPES Registry Identity

NPI1255468906

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameO'FALLON DERMATOLOGY SPECIALISTS, P.C.

Location Address7136 S OUTER ROAD 364O Fallon, MO 63368-7756

Mailing Address7136 S Outer Road 364O Fallon, MO 63368-7756 · (636) 561-3277 · Fax (636) 561-5280

Phone(636) 561-3277

Fax(636) 561-5280

Organization SubpartNo

Authorized OfficialAngela J SprayPhysician · (636) 561-3277

Enumeration DateFebruary 28, 2007

Last NPPES UpdateMarch 22, 2015

✔ NPI 1255468906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MO · 2004004910

Definition

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.

7136 S OUTER ROAD 364, O Fallon, MO 63368

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Other Identifiers 2

Medicare UPINI21552MO

Medicare UPINQ76557MO

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

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 for Provider-Performed Microscopy Procedures (PPMP) 26D1029931

Ofallon Dermatology Specialists · O Fallon, MO

Active · expires Aug 25, 2026

CLIA Number26D1029931

Laboratory TypePhysician Office

Certificate Effective DateAugust 26, 2024

Certificate Expiration DateAugust 25, 2026

Laboratory DirectorAngela J. Spray

Laboratory Phone(636) 561-3277

Laboratory LocationOfallon Dermatology Specialists7136 S Outer Road 364, O Fallon, MO 63368

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

JULIE D. MEDLIN P.A.-C

Physician Assistant (Medical)

7136 S OUTER ROAD 364
O FALLON, MO 63368

St. Charles County (636) 561-3277

DR. ANGELA J SPRAY M.D.

Dermatology

7136 S OUTER ROAD 364
O FALLON, MO 63368

St. Charles County (636) 561-3277

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 O'fallon Dermatology Specialists, P.C.'s NPI number?

The NPI number for O'fallon Dermatology Specialists, P.C. is 1255468906. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is O'fallon Dermatology Specialists, P.C. located?

O'fallon Dermatology Specialists, P.C. is located at 7136 S Outer Road 364, O Fallon, MO 63368. The listed phone number is (636) 561-3277.

What is O'fallon Dermatology Specialists, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does O'fallon Dermatology Specialists, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D1029931) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for O'fallon Dermatology Specialists, P.C. was last updated on March 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.