SKIN SURGERY CENTER OF MISSOURI, LLC
NPI 1760662514
Dermatology - Procedural Dermatology in O Fallon, MO
NPI Status: Active since November 09, 2007
Contact Information
6704 KEATON CORPORATE PKWY STE 100
O FALLON, MO
ZIP 63368
Phone: (636) 300-9596
Fax: (636) 300-9598
- Organization
- Dermatology
- Procedural Dermatology
- CLIA Number: 26D1076758
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-16-2028
About SKIN SURGERY CENTER OF MISSOURI, LLC
This page provides the complete NPI Profile along with additional information for Skin Surgery Center Of Missouri, Llc, a provider established in O Fallon, Missouri operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1760662514 assigned on November 2007. The practitioner's primary taxonomy code is 207NS0135X. The provider is registered as an organization and their NPI record was last updated 6 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 authorized official of this NPI record is Saadia Taufiq Raza (Director)
- NPI
- 1760662514
- Provider Name
- SKIN SURGERY CENTER OF MISSOURI, LLC
- Entity Type
- Organization
- Location Address
- 6704 KEATON CORPORATE PKWY STE 100 O FALLON, MO 63368
- Location Phone
- (636) 300-9596
- Location Fax
- (636) 300-9598
- Mailing Address
- 6704 KEATON CORPORATE PKWY O FALLON, MO 63368
- Mailing Phone
- (636) 300-9596
- Mailing Fax
- (636) 300-9598
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-09-2007
- Last Update Date
- 01-11-2021
- 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
Dermatology Procedural Dermatology
- Taxonomy Code
- 207NS0135X
- Type
- Allopathic & Osteopathic Physicians
- License State
- MO
- Taxonomy Description
- Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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.
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
- 26D1076758
- Facility Type
- Physician Office
- Certificate Effective Date
- April 17, 2026
- Certificate Expiration Date
- April 16, 2028
- Laboratory Director
- SAADIA T. RAZA
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Skin Surgery Center Of Missouri, Llc 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.
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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 1760662514, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760662514, enumerated as an "organization" on November 09, 2007.
The provider is located at 6704 KEATON CORPORATE PKWY STE 100 O FALLON, MO 63368 and the phone number is (636) 300-9596.
Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.
