DERMATOLOGY AND CUTANEOUS SURGERY, INC
NPI 1629043534
Specialist in Saint Louis, MO

Q: What is Dermatology And Cutaneous Surgery, Inc's specialty?

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

Active since February 22, 2006CLIA 26D0440495 · Waiver

621 S NEW BALLAS RD, 498A, SAINT LOUIS, MO 63141(314) 251-3376(314) 251-5781 Get Directions Write a Review

NPPES record last updated: November 30, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dermatology And Cutaneous Surgery, Inc NPPES

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

DERMATOLOGY AND CUTANEOUS SURGERY, INC (NPI 1629043534) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Michael E Mccadden, Owner President, as its authorized official.

NPPES Registry Identity

NPI1629043534

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameDERMATOLOGY AND CUTANEOUS SURGERY, INC

Location Address621 S NEW BALLAS RD, 498ASaint Louis, MO 63141-8232

Mailing Address621 S New Ballas Rd, 498aSaint Louis, MO 63141-8232 · (314) 251-3376 · Fax (314) 251-5781

Phone(314) 251-3376

Fax(314) 251-5781

Organization SubpartNo

Authorized OfficialMichael E MccaddenOwner President · (314) 251-3376

Enumeration DateFebruary 22, 2006

Last NPPES UpdateNovember 30, 2012

✔ NPI 1629043534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MO · BM0655588

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.

621 S NEW BALLAS RD, Saint Louis, MO 63141

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Other Identifiers 2

Medicare UPINA14101

Medicare ID-Type Unspecified0002011318MO

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 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 of Waiver 26D0440495

Dermatology And Cutaneous Surgery · Creve Coeur, MO

Active · expires Feb 14, 2027

CLIA Number26D0440495

Laboratory TypePhysician Office

Certificate Effective DateFebruary 15, 2025

Certificate Expiration DateFebruary 14, 2027

Laboratory DirectorAnne Riordan

Laboratory Phone(314) 251-3376

Laboratory LocationDermatology And Cutaneous Surgery621 S New Ballas Road #498 A, Creve Coeur, MO 63141

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only 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.

STEPHANIE LYNN SHOREY WHNP-BC

Nurse Practitioner (Women's Health)

621 S NEW BALLAS RD, SUITE 2007B
SAINT LOUIS, MO 63141

St. Louis County (314) 991-5000

DR. KATHRYN BOTNEY M.D.

Obstetrics & Gynecology

621 S NEW BALLAS RD, SUITE 4005
SAINT LOUIS, MO 63141

St. Louis County (314) 567-5016

HUILIN LI M.D.

Internal Medicine

621 S NEW BALLAS RD, SUITE 3016B
SAINT LOUIS, MO 63141

St. Louis County (314) 251-6339

LUIS A GIUFFRA LLC

Psychiatry & Neurology (Psychiatry)

621 S NEW BALLAS RD, SUITE 398A
SAINT LOUIS, MO 63141

St. Louis County (314) 251-7720

JOSEPH G HERRMANN MD LLC

Specialist

621 S NEW BALLAS RD, SUITE 419A
SAINT LOUIS, MO 63141

St. Louis County (314) 432-0056

KAREN KILO RN, CDE, RD

Nutritionist (Nutrition, Education)

621 S NEW BALLAS RD, SUITE 460A
SAINT LOUIS, MO 63141

St. Louis County (314) 251-4330

KATINA M CANDEE PA-C

Physician Assistant

621 S NEW BALLAS RD, SUITE 483A
SAINT LOUIS, MO 63141

St. Louis County (314) 251-2095

DR. PETER KONG-WOO YOON M.D.

Specialist

621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141

St. Louis County (314) 251-6364

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 Dermatology And Cutaneous Surgery, Inc's NPI number?

The NPI number for Dermatology And Cutaneous Surgery, Inc is 1629043534. It was assigned to this organization in the NPPES registry on February 22, 2006.

Where is Dermatology And Cutaneous Surgery, Inc located?

Dermatology And Cutaneous Surgery, Inc is located at 621 S New Ballas Rd 498A, Saint Louis, MO 63141. The listed phone number is (314) 251-3376.

What is Dermatology And Cutaneous Surgery, Inc's specialty?

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

Does Dermatology And Cutaneous Surgery, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0440495) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology And Cutaneous Surgery, Inc was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.