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LYNN LEROY JURACEK MD NPI 1083608699


NPI Information

NPI: 1083608699
Provider Name: LYNN LEROY JURACEK, MD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
14239 W BELL RD
SUITE 101
SURPRISE, AZ
ZIP 85374
Phone: (623) 544-7755
Get Directions

Lynn Leroy Juracek, MD is a mohs-micrographic surgery dermatology in Surprise, AZ with 38 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. Lynn Leroy Juracek, MD NPI is 1083608699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1986

The provider's business location address is:

14239 W BELL RD
SUITE 101
SURPRISE, AZ
ZIP 85374-469
Phone: (623) 544-7755
Fax: (623) 544-8665

The NPI 1083608699 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)
  • 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 skin growth (HCPCS:17000)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)

The enumeration date for this NPI number is 9/9/2005 and was last updated on 5/15/2013.


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
1207NI0002XDermatologyClinical & Laboratory Dermatological Immunology30022ARIZONANo
2207NS0135XDermatologyProcedural Dermatology30022ARIZONANo
3207ND0900XDermatologyDermatopathology30022ARIZONANo
4207NP0225XDermatologyPediatric Dermatology30022ARIZONANo
5207N00000XDermatology30022ARIZONANo
6207ND0101XDermatologyMOHS-Micrographic Surgery30022ARIZONAYes

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
1Z70967MEDICARE PINARIZONA
2Z71098MEDICARE PINARIZONA
3Z79179MEDICARE PINARIZONA
4E91085MEDICARE UPIN

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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