LLOYD J. CLEAVER, D.O., L.L.C. (NPI# 1144366428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144366428 |
| Entity Type | Organization |
| Organization Name | LLOYD J. CLEAVER, D.O., L.L.C. |
| Practice Address |
1316 Country Club Dr Kirksville MO 63501-5362 |
| Practice Telephone | 6606277546 |
| Practice Fax Number | 6609567096 |
| Mailing Telephone | 6606277546 |
| Mailing Fax Number | 6609567097 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-09-29 |
| Authorized Official Name | LLOYD JEROME CLEAVER (OWNER) |
| Authorized Official Telephone | 6606277546 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | R8895 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | 070004124 | 01 |
| MO | MO LICENSE (DAVID W. CLEAVER) | 2010022125 | 01 |
| MO | 242210912 | 05 | |
| MO | NPI (DAVID W. CLEAVER) | 1295932648 | 01 |
| MO | RAILROAD MEDICARE GROUP # | DG4290 | 01 |
| NPI | 1063495463 | 01 | |
| MO | 501218200 | 05 | |
| NPI | 1104829829 | 01 | |
| MO | 428713812 | 05 |
| Street Address |
1316 COUNTRY CLUB DR |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-5362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829829 | Lloyd J Cleaver | Dermatology | 1316 Country Club Dr, Kirksville, MO 63501-5362 | 2005-05-27 |
| 1285164772 | Elizabeth Demaree | Student in an Organized Health Care Education/Training Program | 1316 Country Club Dr, Kirksville, MO 63501 | 2017-06-15 |
| 1013452861 | Cleaver Dermatology PC | Dermatology | 1316 Country Club Dr, Kirksville, MO 63501-5362 | 2017-01-04 |
| 1326308842 | Emily Kollmann | Dermatology | 1316 Country Club Dr, Kirksville, MO 63501-5362 | 2012-05-17 |
| 1033431903 | Jonathan Lloyd Cleaver | Dermatology | 1316 Country Club Dr, Kirksville, MO 63501-5362 | 2010-02-19 |
| 1295932648 | David Wesley Cleaver | Dermatology | 1316 Country Club Dr, Kirksville, MO 63501-5362 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790330371 | Baydon Earl Hilton | Dermatology | 1003 Kings Rd, Kirksville, MO 63501-2627 | 2019-08-09 |
| 1104829829 | Lloyd J Cleaver | Dermatology | 1316 Country Club Dr, Kirksville, MO 63501-5362 | 2005-05-27 |
| 1457904732 | Jazmine Marie Nesvik | Dermatology | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2019-07-16 |
| 1013452861 | Cleaver Dermatology PC | Dermatology | 1316 Country Club Dr, Kirksville, MO 63501-5362 | 2017-01-04 |
| 1326308842 | Emily Kollmann | Dermatology | 1316 Country Club Dr, Kirksville, MO 63501-5362 | 2012-05-17 |
| 1902194871 | Cathy Lynn Koger | Dermatology | 700 W Jefferson St, Kirksville, MO 63501-1441 | 2011-07-13 |
| 1033431903 | Jonathan Lloyd Cleaver | Dermatology | 1316 Country Club Dr, Kirksville, MO 63501-5362 | 2010-02-19 |
| 1295932648 | David Wesley Cleaver | Dermatology | 1316 Country Club Dr, Kirksville, MO 63501-5362 | 2007-06-29 |
| 1376769943 | Benjamin Edward Adams | Dermatology | 700 W Jefferson St, Kirksville, MO 63501-1441 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605906 | Deluxe Dermatology LLC | Dermatology | 1034 S Brentwood Blvd Ste 1000, Saint Louis, MO 63117-1210 | 2020-10-03 |
| 1811510886 | Yoon Dermatology LLC | Dermatology | 1060 Meyer Rd, Wentzville, MO 63385-3800 | 2020-05-25 |
| 1417597923 | Anna Marie Aiazzi | Dermatology | 10012 Kennerly Rd Ste 401, Saint Louis, MO 63128-2197 | 2020-01-13 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1528537057 | Cayce Medical Spa, Inc | Dermatology | 2001 Corona Rd Ste 201, Columbia, MO 65203-5924 | 2018-11-14 |
| 1396226981 | Nicole Betty | Dermatology | 413 W Water Street, Greenfield, MO 65661 | 2018-08-22 |
| 1366946832 | Novahealth Medical Group, LLC | Dermatology | 3208 Lemone Industrial Blvd Ste A, Columbia, MO 65201-8244 | 2018-03-20 |
| 1952757007 | Stacy Gittel Blum | Dermatology | 222 S Woods Mill Rd Ste 480, Chesterfield, MO 63017-3625 | 2016-05-08 |
| 1508248576 | Kaitlin Ann Schiavo | Dermatology | 204 N Keene St Ste 100, Columbia, MO 65201-8136 | 2015-06-25 |
| 1821482373 | David Cotter | Dermatology | 9450 Minerva Ave, Saint Louis, MO 63114-3910 | 2015-03-23 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.