PREMIER DERMATOLOGY
NPI 1578776167
Specialist in Saint Louis, MO
NPI Status: Active since May 08, 2007
Contact Information
456 N NEW BALLAS RD
SUITE 118
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 567-1400
Fax: (314) 567-9559
- Organization
- Specialist
- CLIA Number: 26D1015698
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-17-2027
About PREMIER DERMATOLOGY
This page provides the complete NPI Profile along with additional information for Premier Dermatology, a provider established in Saint Louis, Missouri operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1578776167 assigned on May 2007. The practitioner's primary taxonomy code is 174400000X with license number 112298 (MO). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Premier Dermatology. The authorized official of this NPI record is Dr. Jeffrey T. Reed M.d. (Owner)
- NPI
- 1578776167
- Provider Legal Name
- JEFFREY T REED
- Other Organization Name
- PREMIER DERMATOLOGY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 456 N NEW BALLAS RD SUITE 118 SAINT LOUIS, MO 63141
- Location Phone
- (314) 567-1400
- Location Fax
- (314) 567-9559
- Mailing Address
- 456 N NEW BALLAS RD SUITE 118 SAINT LOUIS, MO 63141
- Mailing Phone
- (314) 567-1400
- Mailing Fax
- (314) 567-9559
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2007
- Last Update Date
- 06-17-2008
- Code Navigator
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 112298
- License State
- MO
- Taxonomy Description
- 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.
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:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G45572 | MEDICARE UPIN (02) | ||
| 000095549 | MEDICARE ID-TYPE UNSPECIFIED (04) |
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
- 26D1015698
- Facility Type
- Physician Office
- Certificate Effective Date
- November 18, 2025
- Certificate Expiration Date
- November 17, 2027
- Laboratory Director
- JEFFREY REED
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Premier Dermatology after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for PREMIER DERMATOLOGY
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1578776167, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAINT LOUIS, MO 63141
CREVE COEUR, MO 63141
CREVE COEUR, MO 63141
CREVE COEUR, MO 63141
CREVE COEUR, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
CREVE COEUR, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578776167, enumerated as an "organization" on May 08, 2007.
The provider is located at 456 N NEW BALLAS RD SUITE 118 SAINT LOUIS, MO 63141 and the phone number is (314) 567-1400.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
