1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Specialist
  6. NPI Profile

MID-COUNTY DERMATOLOGY, INC
NPI 1295913028
Specialist in Saint Louis, MO

Active since February 04, 2008CLIA 26D0946699 · Microscopy
3009 N BALLAS RD, STE 208B, SAINT LOUIS, MO 63131(314) 994-0200(314) 994-7945 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mid-county Dermatology, Inc NPPES

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

MID-COUNTY DERMATOLOGY, INC (NPI 1295913028) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since February 2008. The organization holds a CLIA Microscopy certificate valid through May 31, 2028 and lists Connie Gibstine, Manager, as its authorized official.

NPPES Registry Identity

NPI1295913028
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMID-COUNTY DERMATOLOGY, INC
Location Address3009 N BALLAS RD, STE 208BSaint Louis, MO 63131-2322
Mailing Address3009 N Ballas Rd, Ste 208bSaint Louis, MO 63131-2322 · (314) 994-0200 · Fax (314) 994-7945
Phone(314) 994-0200
Fax(314) 994-7945
Organization SubpartNo
Authorized OfficialConnie GibstineManager · (314) 994-0200
Enumeration DateFebruary 4, 2008
Last NPPES UpdateJanuary 20, 2009
✔ NPI 1295913028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
3009 N BALLAS RD, Saint Louis, MO 63131
Open in Google Maps ↗

Other Identifiers 1

Other000012915MO · Medicare Legacy Number

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

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) 26D0946699

Mid County Dermatology · Saint Louis, MO
Active · expires May 31, 2028
CLIA Number26D0946699
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorConnie F. Gibstine
Laboratory Phone(314) 994-0200
Laboratory LocationMid County Dermatology3009 N Ballas Road Bldg B Suite 208, Saint Louis, MO 63131
CLIA data matches this NPI record on: Address Name 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 20

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

LEE S. PORTNOFF, M.D., P.C.
Dermatology (MOHS-Micrographic Surgery)
3009 N BALLAS RD, STE 235A
SAINT LOUIS, MO 63131
St. Louis County (314) 993-2909
BRYON LUCAS BECK PA-C
Physician Assistant
3009 N BALLAS RD, BUILDING B, SUITE 202
SAINT LOUIS, MO 63131
St. Louis County (314) 995-6893
TOWN AND COUNTRY PRIMARY CARE LLC
Internal Medicine
3009 N BALLAS RD, SUITE 300A
SAINT LOUIS, MO 63131
St. Louis County (314) 872-8999
MIDWEST MEDICAL ASSOCIATES, INC
Internal Medicine
3009 N BALLAS RD, SUITE 300A
SAINT LOUIS, MO 63131
St. Louis County (314) 872-9900
PHYSICIAN GROUPS LC
Clinic/Center (Primary Care)
3009 N BALLAS RD, SUITE 315A
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5900
DR. DAVID JOHN WRIGHT MD
Surgery (Surgery of the Hand)
3009 N BALLAS RD, DEPT ORTHOPAEDIC SURGERY, STE 320
SAINT LOUIS, MO 63131
St. Louis County (314) 514-3500
DR. BENJAMIN ALLEN VOSS MD
Internal Medicine
3009 N BALLAS RD, SUITE 227A
SAINT LOUIS, MO 63131
St. Louis County (314) 996-7800
ANSTEY INTERNAL MEDICINE PC
Specialist
3009 N BALLAS RD, STE 215B
SAINT LOUIS, MO 63131
St. Louis County (314) 432-1964

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 Mid-County Dermatology, Inc's NPI number?

The NPI number for Mid-County Dermatology, Inc is 1295913028. It was assigned to this organization in the NPPES registry on February 4, 2008.

Where is Mid-County Dermatology, Inc located?

Mid-County Dermatology, Inc is located at 3009 N Ballas Rd Ste 208B, Saint Louis, MO 63131. The listed phone number is (314) 994-0200.

What is Mid-County Dermatology, Inc's specialty?

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

Does Mid-County Dermatology, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0946699) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mid-County Dermatology, Inc 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 Mid-County Dermatology, Inc 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 Mid-County Dermatology, Inc was last updated on January 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.