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HEARTLAND DERMATOLOGY AND SKIN CANCER CENTER PA NPI 1538135207


NPI Information

NPI: 1538135207
Provider Name: HEARTLAND DERMATOLOGY AND SKIN CANCER CENTER, PA

Former Legal Business Name: HEARTLAND DERMATOLOGY CENTER, PA

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 17D1015348

Address:
828 ELMHURST BLVD
SALINA, KS
ZIP 67401
Phone: (785) 827-2500
Get Directions

HEARTLAND DERMATOLOGY AND SKIN CANCER CENTER, PA is a dermatology in Salina, KS. The provider is 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. HEARTLAND DERMATOLOGY AND SKIN CANCER CENTER, PA NPI is 1538135207. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Heartland Dermatology Center, Pa.

The provider's business location address is:

828 ELMHURST BLVD
SALINA, KS
ZIP 67401-406
Phone: (785) 827-2500
Fax: (785) 827-2515

The provider's authorized official is Matthew P Shaffer .
The authorized official title is President and has the following contact phone number (785) 577-4448.

The CLIA number assigned to this NPI record is 17D1015348 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 12/29/2011.


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
1207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110942OTHERKANSASBCBS (SALINA LOCATION)
2110942MEDICARE ID-TYPE UNSPECIFIEDKANSASSALINA LOCATION
3110060MEDICARE ID-TYPE UNSPECIFIEDKANSASHAYS LOCATION
4110060OTHERKANSASBCBS (HAYS LOCATION)
5110061MEDICARE ID-TYPE UNSPECIFIEDKANSASGREAT BEND LOCATION
6110061OTHERKANSASBCBS (GREAT BEND LOCATION
7623450OTHERKANSASFIRST GUARD
8C54705OTHERKANSASRAILROAD MEDICARE

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

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