PREMIER DERMATOLOGY
NPI 1578776167
Specialist in Saint Louis, MO

Active since May 08, 2007CLIA 26D1015698 · Certificate of Compliance
456 N NEW BALLAS RD, SUITE 118, SAINT LOUIS, MO 63141(314) 567-1400(314) 567-9559 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Premier Dermatology NPPES

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

PREMIER DERMATOLOGY (NPI 1578776167) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 17, 2027 and lists Jeffrey T. Reed, Owner, as its authorized official.

NPPES Registry Identity

NPI1578776167
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJEFFREY T REED
Location Address456 N NEW BALLAS RD, SUITE 118Saint Louis, MO 63141-6831
Mailing Address456 N New Ballas Rd, Suite 118Saint Louis, MO 63141-6831 · (314) 567-1400 · Fax (314) 567-9559
Fax(314) 567-9559
Organization SubpartNo
Authorized OfficialJeffrey T. ReedOwner · (314) 567-1400
Enumeration DateMay 8, 2007
Last NPPES UpdateJune 17, 2008
NPI 1578776167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MO · 112298
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.

456 N NEW BALLAS RD, Saint Louis, MO 63141

Other Names 1

Other NamePremier Dermatology

Other Identifiers 2

Medicare UPING45572
Medicare ID-Type Unspecified000095549

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 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.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
456 N NEW BALLAS RD, SUITE 304
SAINT LOUIS, MO 63141
Internal Medicine
456 N NEW BALLAS RD, SUITE 299
SAINT LOUIS, MO 63141
Specialist
456 N NEW BALLAS RD, SUITE 220
SAINT LOUIS, MO 63141
Psychiatry & Neurology (Neurology)
456 N NEW BALLAS RD, SUITE 324
CREVE COEUR, MO 63141
Dentist (Oral and Maxillofacial Surgery)
456 N NEW BALLAS RD, SUITE 249
CREVE COEUR, MO 63141
Dentist (Oral and Maxillofacial Surgery)
456 N NEW BALLAS RD, SUITE 249
CREVE COEUR, MO 63141
Podiatrist
456 N NEW BALLAS RD, SUITE 250
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
456 N NEW BALLAS RD, SUITE 386
CREVE COEUR, MO 63141
Obstetrics & Gynecology
456 N NEW BALLAS RD, SUITE 220
SAINT LOUIS, MO 63141
Obstetrics & Gynecology (Obstetrics)
456 N NEW BALLAS RD, SUITE 220
SAINT LOUIS, MO 63141
Psychiatry & Neurology (Neurology)
456 N NEW BALLAS RD
CREVE COEUR, MO 63141
Nurse Practitioner (Pediatrics)
456 N NEW BALLAS RD, SUITE 304
SAINT LOUIS, MO 63141
Nurse Practitioner (Pediatrics)
456 N NEW BALLAS RD, SUITE 304
SAINT LOUIS, MO 63141
Dermatology
456 N NEW BALLAS RD, STE 118
SAINT LOUIS, MO 63141
Home Health
456 N NEW BALLAS RD, SUITE 345
SAINT LOUIS, MO 63141
Specialist
456 N NEW BALLAS RD, SUITE 118
SAINT LOUIS, MO 63141
Allergy & Immunology (Allergy)
456 N NEW BALLAS RD, SUITE 129
SAINT LOUIS, MO 63141
Allergy & Immunology (Allergy)
456 N NEW BALLAS RD, STE 129
SAINT LOUIS, MO 63141
Nursing Care
456 N NEW BALLAS RD, SUITE 345
SAINT LOUIS, MO 63141
Pediatrics
456 N NEW BALLAS RD
ST 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.