Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

St Louis Medical Clinic, PC

Organization Dermatology Physician · NPI 1174505127

St Louis Medical Clinic, PC is a Dermatology Physician in Saint Louis, Missouri. Works from 2 locations. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
9
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3009 N Ballas Rd Ste 100B
Saint Louis, MO 63131-2322
Phone: (314) 432-1111
Fax: (314) 432-6308
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 Lemay Ferry Rd, Saint Louis, MO 63125-2408 — (314) 685-8721

Specialties & licences

Infusion Therapy Clinic/Center (primary) Taxonomy 261QI0500X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Rheumatology Physician Taxonomy 207RR0500X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1174505127
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mindy Powell — Administrator · (314) 983-4000
Other names St. Louis Medical Clinic
NPI enumeratedNovember 16, 2005
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing addressPo Box 778969, Chicago, IL 60677-0001

Other providers in Saint Louis