St Charles County Dermatologic Surgery, LLC
NPI 1235761438 · Procedural Dermatology Physician · Cottleville, MO
St Charles County Dermatologic Surgery, LLC is a Procedural Dermatology Physician organization in Cottleville, MO (NPI 1235761438).
Provider details
- NPI number
- 1235761438
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacey Tull, Physician and Owner(636) 327-3376
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2020-02-06
- Last updated
- 2020-02-06
- Certified
- 2020-02-06
Frequently asked questions
- What is St Charles County Dermatologic Surgery, LLC's NPI number?
- St Charles County Dermatologic Surgery, LLC's National Provider Identifier (NPI) is 1235761438, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Charles County Dermatologic Surgery, LLC?
- St Charles County Dermatologic Surgery, LLC is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is St Charles County Dermatologic Surgery, LLC located?
- St Charles County Dermatologic Surgery, LLC's practice location on file with NPPES is 1493 Cottleville Pkwy, Cottleville, MO 63376-3564.
- What is St Charles County Dermatologic Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for St Charles County Dermatologic Surgery, LLC is (636) 317-3376.
- Who is the authorized official for St Charles County Dermatologic Surgery, LLC?
- The authorized official listed on St Charles County Dermatologic Surgery, LLC's NPPES record is Stacey Tull, Physician and Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Charles County Dermatologic Surgery, LLC's NPI active?
- Yes — St Charles County Dermatologic Surgery, LLC's NPI (1235761438) is active in the NPPES registry as of the last update on 2020-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.