PURCELL DERMATOLOGY
NPI 1871044735
Clinic/Center - Medical Specialty in Saint Louis, MO

NPI Status: Active since October 16, 2016

Contact Information

969 N MASON RD STE 170
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 888-5305

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • CLIA Number: 26D2122443
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-16-2026

About PURCELL DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Purcell Dermatology, a provider established in Saint Louis, Missouri operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1871044735 assigned on October 2016. The practitioner's primary taxonomy code is 261QM2500X with license number 2008007453 (MO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Purcell Dermatology. The authorized official of this NPI record is Susan D Purcell Md (Owner)

NPI
1871044735
Provider Legal Name
SUSAN D PURCELL MD DERMATOLOGY LLC
Other Organization Name
PURCELL DERMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
969 N MASON RD STE 170 SAINT LOUIS, MO 63141
Location Phone
(314) 888-5305
Mailing Address
969 N MASON RD STE 170 SAINT LOUIS, MO 63141
Mailing Phone
(314) 985-8000
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-16-2016
Last Update Date
12-12-2016
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
2008007453
License State
MO
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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.

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

SUSAN D PURCELL MD

Authorized Official Title
OWNER
Authorized Official Phone
(314) 985-8000

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
1831244904OTHER (01)NPI

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
26D2122443
Facility Type
Physician Office
Certificate Effective Date
September 17, 2024
Certificate Expiration Date
September 16, 2026
Laboratory Director
SUSAN D. PURCELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Purcell Dermatology 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.

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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 1871044735, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 0 → 0 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 0 + 4 + 8 + 7 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1871044735.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871044735, enumerated as an "organization" on October 16, 2016.

The provider is located at 969 N MASON RD STE 170 SAINT LOUIS, MO 63141 and the phone number is (314) 888-5305.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.