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DERMATOLOGY PC NPI 1790736353


NPI Information

NPI: 1790736353
Provider Name: DERMATOLOGY, PC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 16D2094636

Address:
6000 UNIVERSITY AVE
SUITE 450
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 241-2000
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DERMATOLOGY, PC is a mohs-micrographic surgery dermatology in West Des Moines, IA. 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. DERMATOLOGY, PC NPI is 1790736353. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6000 UNIVERSITY AVE
SUITE 450
WEST DES MOINES, IA
ZIP 50266-203
Phone: (515) 241-2000
Fax: (515) 241-2000

The provider's authorized official is Roger I Ceilley .
The authorized official title is President and has the following contact phone number (515) 241-2000.

The CLIA number assigned to this NPI record is 16D2094636 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/16/2006 and was last updated on 8/22/2020.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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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