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CLAYTON DERMATOLOGY LLC
NPI 1336253095
Specialist in Saint Louis, MO

Active since August 19, 2006
816 S KIRKWOOD RD STE 210, SAINT LOUIS, MO 63122(314) 645-4500(314) 645-5907 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clayton Dermatology Llc NPPES

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

CLAYTON DERMATOLOGY LLC (NPI 1336253095) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since August 2006. The organization lists Luciann Lisi Hruza, President, as its authorized official.

NPPES Registry Identity

NPI1336253095
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCLAYTON DERMATOLOGY LLC
Location Address816 S KIRKWOOD RD STE 210Saint Louis, MO 63122-6056
Mailing Address816 S Kirkwood Rd Ste 210Saint Louis, MO 63122-6056 · (314) 645-4500 · Fax (314) 645-5907
Phone(314) 645-4500
Fax(314) 645-5907
Organization SubpartNo
Authorized OfficialLuciann Lisi HruzaPresident · (314) 645-4500
Enumeration DateAugust 19, 2006
Last NPPES UpdateMarch 15, 2018
✔ NPI 1336253095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MO · 100200
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.
816 S KIRKWOOD RD STE 210, Saint Louis, MO 63122
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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

Other Providers at the Same Location NPPES 5

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

DR. KEVIN P KING M.D.
Family Medicine
816 S KIRKWOOD RD STE 210
KIRKWOOD, MO 63122
St. Louis County (314) 822-6830
EMILY MILFORD STEVENSON M.D.
Dermatology
816 S KIRKWOOD RD STE 210
SAINT LOUIS, MO 63122
St. Louis County (314) 645-4500
LUCIANN LISI HRUZA MD
Dermatology
816 S KIRKWOOD RD STE 210
SAINT LOUIS, MO 63122
St. Louis County (314) 645-4500
ALEXANDER MEYER DO
Family Medicine
816 S KIRKWOOD RD STE 210
KIRKWOOD, MO 63122
St. Louis County (314) 525-5037
MARISSA LYNN SAENGSAMRAN APRN, BC
Nurse Practitioner (Gerontology)
816 S KIRKWOOD RD STE 210
SAINT LOUIS, MO 63122
St. Louis County (314) 645-4500

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 Clayton Dermatology LLC's NPI number?

The NPI number for Clayton Dermatology LLC is 1336253095. It was assigned to this organization in the NPPES registry on August 19, 2006.

Where is Clayton Dermatology LLC located?

Clayton Dermatology LLC is located at 816 S Kirkwood Rd Ste 210, Saint Louis, MO 63122. The listed phone number is (314) 645-4500.

What is Clayton Dermatology LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Clayton Dermatology LLC was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.