OrganizationActive
Skin Pathology LLC
NPI 1134143761 · Dermatopathology (Pathology) Physician · Hazelwood, MO
Provider details
- NPI number
- 1134143761
- Entity type
- Organization
- Primary specialty
- Dermatopathology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Xiao-Dong Wang, President(314) 522-8896
- License
- 2002014408 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6944 N Hanley Rd
Hazelwood, MO 63042-2933
Phone: (314) 522-8896
Street-level locationGet directions
Mailing address
6944 N Hanley Rd
Hazelwood, MO 63042-2933
Other names (DBA / former)
- Doing business as
- Academy of Skin Pathology
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.