| NPI | 1043214505 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-06-11 |
| Last Updated | 2026-03-10 |
| Mailing Address | 4 Dunleith Dr Saint Louis, MO 63124-1895 United States Phone: (314) 705-0644 📍 View Map |
| Primary Practice Address | 4 Dunleith Dr Saint Louis, MO 63124-1895 United States Phone: (314) 705-0644 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207ND0101X – Dermatology, MOHS-Micrographic Surgery | MO | R9730 |
| No | 207NS0135X – Dermatology, Procedural Dermatology | MO | R9730 |
| No | 207N00000X – Dermatology | MO | R9730 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1043214505
Lee S Portnoff M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1043214505. The primary specialty listed is Dermatology, MOHS-Micrographic Surgery. The provider is located in Saint Louis, MO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-06-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043214505?
NPI 1043214505 belongs to Lee S Portnoff M.D., a Dermatology, MOHS-Micrographic Surgery in Saint Louis, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043214505 active?
The current status of NPI 1043214505 in the NPPES registry is Active. The record was last updated on 2026-03-10.
What specialty is NPI 1043214505?
NPI 1043214505 is classified under the taxonomy Dermatology, MOHS-Micrographic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043214505?
You can verify NPI 1043214505 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043214505?
The primary practice address on file for NPI 1043214505 is 4 Dunleith Dr, Saint Louis, MO 63124-1895. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043214505 issued?
NPI 1043214505 was first issued (enumerated) on 2005-06-11. The NPPES record was last updated on 2026-03-10.
Practice Location Map
Lee S Portnoff is located at 4 Dunleith Dr, Saint Louis, MO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lee S Portnoff. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1043214505. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery | R9730 | MO |
| Dermatology, Procedural Dermatology | R9730 | MO |
| Dermatology | R9730 | MO |