Precision Skin Care Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PRECISION SKIN CARE DERMATOLOGY, LLC

Practice address

10287 Clayton Rd Ste 360
Saint Louis, MO 63124-1181

Phone

(314) 350-8207

Fax

(314) 293-6801

NPI assigned

Nov 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Anne Rancour, MDNPI 1093129538

Title

Managing Member

Phone

(314) 350-8207

Specialties & licenses 1

Addresses

Other names 1

• PSC Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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 2

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

• Elizabeth Anne Rancour, MD

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1093129538

  Dermatology, MO

  Medicare reassignment Care Compare group NPD Authorized official
• Prasanthi Kandula

  • Procedural Dermatology Physician
  • Saint Louis, MO
  • NPI 1225458185

  MO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1306662200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10287 CLAYTON RD STE 360",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241181",
            "telephone_number": "314-350-8207",
            "fax_number": "314-293-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10287 CLAYTON RD STE 360",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241181",
            "telephone_number": "314-350-8207",
            "fax_number": "314-293-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SKIN CARE DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "RANCOUR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-350-8207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSC Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PSC Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Preferred Family Healthcare
• Preferred Family Healthcare
• Preferred Family Healthcare
• Preferred Family Healthcare
• Preferred Family Healthcare Inc

• All providers in Saint Louis, MO
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.