ST. LOUIS DERMATOLOGY CENTER LLC
NPI 1437667920
Dermatology in Saint Louis, MO

NPI Status: Active since January 18, 2018

Contact Information

8888 LADUE RD STE 210
SAINT LOUIS, MO
ZIP 63124
Phone: (314) 474-0114
Fax: (314) 526-2686

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Dermatology
Accepts Insurance
CLIA Number: 26D2324124
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 05-18-2027

About ST. LOUIS DERMATOLOGY CENTER LLC

This page provides the complete NPI Profile along with additional information for St. Louis Dermatology Center Llc, a provider established in Saint Louis, Missouri operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1437667920 assigned on January 2018. The practitioner's primary taxonomy code is 207N00000X with license number 2017039492 (MO). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Osamuede Osemwota Md (Owner)

NPI: 1437667920
Provider Name: ST. LOUIS DERMATOLOGY CENTER LLC
Entity Type: Organization
Location Address: 8888 LADUE RD STE 210 SAINT LOUIS, MO 63124
Location Phone: (314) 474-0114
Location Fax: (314) 526-2686
Mailing Address: 536 ROSEDALE AVE APT 201 SAINT LOUIS, MO 63112
Mailing Phone: (334) 221-2357
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-18-2018
Last Update Date: 01-18-2018
Code Navigator

A dermatologist like St. Louis Dermatology Center Llc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dermatology
Taxonomy Code: 207N00000X
Type: Allopathic & Osteopathic Physicians
License No.: 2017039492
License State: MO
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medica

WellFirst by Medica Bronze $0 Copay PCP Visits - EPO
WellFirst by Medica Bronze Share - EPO
WellFirst by Medica Catastrophic - EPO
WellFirst by Medica Expanded Bronze Standard - EPO
WellFirst by Medica Gold $0 Copay PCP Visits - EPO
WellFirst by Medica Gold Copay Plus - EPO
WellFirst by Medica Gold Standard - EPO
WellFirst by Medica Silver $0 Copay PCP Visits - EPO
WellFirst by Medica Silver Copay Plus - EPO
WellFirst by Medica Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: OSAMUEDE OSEMWOTA MD
Authorized Official Title: OWNER
Authorized Official Phone: (314) 474-0114

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 26D2324124
Facility Type: Physician Office
Certificate Effective Date: May 19, 2025
Certificate Expiration Date: May 18, 2027
Laboratory Director: OSAMUEDE OSEMWOTA
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to St. Louis Dermatology Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	3	7	6	6	7	9	2	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	6	7	12	6	14	9	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 1 + 2 + 6 + 1 + 4 + 9 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1437667920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 10 providers are registered at the same or nearby location.

DR. CARL A. LYSS MD

Internal Medicine

8888 LADUE RD STE 210
SUITE 210
SAINT LOUIS, MO
ZIP 63124

(314) 290-7455

View Profile

BENJAMIN M GOLDSTEIN MD

Internal Medicine