Cleaver Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CLEAVER DERMATOLOGY PC

Practice address

1316 Country Club Dr
Kirksville, MO 63501-5362

Phone

(660) 627-7546

Fax

(660) 956-7096

NPI assigned

Jan 4, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Crystal K Roberts

Title

Billing Supervisor

Phone

(660) 956-7053

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IA, GA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Wesley Cleaver, D.O.

  • Dermatology Physician
  • Kirksville, MO
  • NPI 1295932648

  IA

  Medicare reassignment Care Compare group NPD
• Baydon Earl Hilton

  • Dermatology Physician
  • Kirksville, MO
  • NPI 1790330371
  Medicare reassignment Care Compare group NPD
• Nathan Jerome Cleaver, DO

  • Dermatology Physician
  • Cumming, GA
  • NPI 1871882225

  IA, MO

  Medicare reassignment Care Compare group NPD
• Jonathan Lloyd Cleaver, D.O.

  • Dermatology Physician
  • Kirksville, MO
  • NPI 1033431903

  IA

  Medicare reassignment Care Compare group
• Lloyd J Cleaver, DO

  • Dermatology Physician
  • Kirksville, MO
  • NPI 1104829829
  Medicare reassignment Care Compare group
• Natalie Christine Wade, PA-C

  • Medical Physician Assistant
  • Tucson, AZ
  • NPI 1245015213

  MO

  Medicare reassignment Care Compare group
• Leslie Ann Marshall, D.O.

  • Dermatology Physician
  • West Plains, MO
  • NPI 1477878221
  Medicare reassignment NPD
• Audelia Eben, DO

  • Student in an Organized Health Care Education/Training Program
  • Kirksville, MO
  • NPI 1942905583
  NPD
• Nicholas Noyce, DO

  • Dermatology Physician
  • Kirksville, MO
  • NPI 1013612829
  NPD
• Vanessa Huffmon

  • Nurse Practitioner
  • Kirksville, MO
  • NPI 1548176217
  NPD (past)
• Shawnee Lynn Kellison, RNBCFNP

  • Family Nurse Practitioner
  • Kirksville, MO
  • NPI 1063495463
  NPD (past)
• Emily Kollmann, D.O., M.S.

  • Dermatology Physician
  • Kirksville, MO
  • NPI 1326308842
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1013452861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7545",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635017545",
            "telephone_number": "660-627-7546",
            "fax_number": "660-956-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 COUNTRY CLUB DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015362",
            "telephone_number": "660-627-7546",
            "fax_number": "660-956-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAVER DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "660-956-7053"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gemma A Ciesemier, DO
• Lawrence Lester Ciesemier, D.O
• Cindy a Mayberry Apn LLC
• Susana Cisneros, MA, PLPC
• Terri Lynn Clay, MA, CCC-SLP
• David Wesley Cleaver, D.O.
• Jonathan Lloyd Cleaver, D.O.
• Lloyd J Cleaver, DO
• Adam Lance Cline, ATC
• Emily Christine Cobb

• Dermatology Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.