Provider Type Icon

SKIN PC NPI 1447629886


NPI Information

NPI: 1447629886
Provider Name: SKIN PC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 06D2099836

Address:
905 ALPINE AVE
BOULDER, CO
ZIP 80304
Phone: (970) 667-3116
Get Directions

SKIN PC is a mohs-micrographic surgery dermatology in Boulder, CO. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. SKIN PC NPI is 1447629886. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

905 ALPINE AVE
BOULDER, CO
ZIP 80304-305
Phone: (970) 667-3116
Fax: (970) 669-0159

The provider's authorized official is Kevin J Mott .
The authorized official title is Ceo and has the following contact phone number (303) 569-7700.

The CLIA number assigned to this NPI record is 06D2099836 - practitioner other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/16/2015 and was last updated on 12/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryDR.0053082COLORADOYes
3207ND0101XDermatologyMOHS-Micrographic SurgeryNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.