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

Active since October 16, 2016CLIA 26D2122443 · Waiver
969 N MASON RD STE 170, SAINT LOUIS, MO 63141(314) 888-5305 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2016, Oct 16, 2016 (2 updates tracked since 2016).

About Purcell Dermatology NPPES

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

PURCELL DERMATOLOGY (NPI 1871044735) is a healthcare organization registered as a medical specialty in Saint Louis, Missouri and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Susan D Purcell, Owner, as its authorized official.

NPPES Registry Identity

NPI1871044735
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSUSAN D PURCELL MD DERMATOLOGY LLC
Location Address969 N MASON RD STE 170Saint Louis, MO 63141-6387
Mailing Address969 N Mason Rd Ste 170Saint Louis, MO 63141-6387 · (314) 985-8000 · Fax (314) 985-8004
Phone(314) 888-5305
Organization SubpartNo
Authorized OfficialSusan D PurcellOwner · (314) 985-8000
Enumeration DateOctober 16, 2016
Last NPPES UpdateDecember 12, 20162 updates tracked since enumeration
✔ NPI 1871044735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MO · 2008007453
Definition
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).
969 N MASON RD STE 170, Saint Louis, MO 63141
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Other Names 1

Doing Business AsPurcell Dermatology

Other Identifiers 1

Other1831244904Npi

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 26D2122443

Susan D Purcell MD Dermatology LLC Dba Purcell Dermatology · Saint Louis, MO
Active · expires Sep 16, 2026
CLIA Number26D2122443
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorSusan D. Purcell
Laboratory Phone(314) 985-8000
Laboratory LocationSusan D Purcell MD Dermatology LLC Dba Purcell Dermatology969 N Mason Rd Suite 170, Saint Louis, MO 63141
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Susan D Purcell MD Dermatology LLC's NPI number?

The NPI number for Susan D Purcell MD Dermatology LLC is 1871044735. It was assigned to this organization in the NPPES registry on October 16, 2016. The provider is doing business as Purcell Dermatology.

Where is Susan D Purcell MD Dermatology LLC located?

Susan D Purcell MD Dermatology LLC is located at 969 N Mason Rd Ste 170, Saint Louis, MO 63141. The listed phone number is (314) 888-5305.

What is Susan D Purcell MD Dermatology LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Susan D Purcell MD Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2122443) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Susan D Purcell MD Dermatology LLC was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.