Provider Type Icon

PAUL DOUGLAS REICHERTER MD NPI 1053379826


NPI Information

NPI: 1053379826
Provider Name: PAUL DOUGLAS REICHERTER, MD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
1813 W HARVARD AVE
STE 310
ROSEBURG, OR
ZIP 97471
Phone: (541) 672-7546
Get Directions

Paul Douglas Reicherter, MD is a mohs-micrographic surgery dermatology in Roseburg, OR with 26 years of experience. 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. Paul Douglas Reicherter, MD NPI is 1053379826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:1998

The provider's business location address is:

1813 W HARVARD AVE
STE 310
ROSEBURG, OR
ZIP 97471-752
Phone: (541) 672-7546
Fax: (541) 957-8446

The NPI 1053379826 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Destruction of skin growth (HCPCS:17000)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (HCPCS:17312)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) (HCPCS:17311)
  • Destruction of up to 14 skin growths (HCPCS:17110)

The enumeration date for this NPI number is 5/2/2006 and was last updated on 3/17/2018.


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
1207N00000XDermatology2015039802MISSOURINo
2207N00000XDermatologyMD23536OREGONNo
3207ND0101XDermatologyMOHS-Micrographic Surgery2015039802MISSOURINo
4207ND0900XDermatologyDermatopathologyMD23536OREGONNo
5207ND0900XDermatologyDermatopathology2015039802MISSOURINo
6207NP0225XDermatologyPediatric Dermatology2015039802MISSOURINo
7207NP0225XDermatologyPediatric DermatologyMD23536OREGONNo
8207NS0135XDermatologyProcedural Dermatology2015039802MISSOURINo
9207ND0101XDermatologyMOHS-Micrographic SurgeryMD23536OREGONYes
10207NS0135XDermatologyProcedural DermatologyMD23536OREGONNo

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
11053379826MEDICAIDMISSOURI
2286785MEDICAIDOREGON
3838392000OTHEROREGONBLUE CROSS
438D1028702OTHEROREGONCLIA #
5DC5977OTHEROREGONRAILROAD 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

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.