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ADVANCED DERMATOLOGY AND SKIN CANCER CENTER PA NPI 1124094867


NPI Information

NPI: 1124094867
Provider Name: ADVANCED DERMATOLOGY AND SKIN CANCER CENTER, PA

Other Name: PREMIER DERMATOLOGY & MOHS SURGERY CENTER

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 17D0924251

Address:
2735 PEMBROOK PL
MANHATTAN, KS
ZIP 66502
Phone: (785) 537-4990
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ADVANCED DERMATOLOGY AND SKIN CANCER CENTER, PA is a dermatology in Manhattan, 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. ADVANCED DERMATOLOGY AND SKIN CANCER CENTER, PA NPI is 1124094867. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Premier Dermatology & Mohs Surgery Center.

The provider's business location address is:

2735 PEMBROOK PL
MANHATTAN, KS
ZIP 66502-482
Phone: (785) 537-4990
Fax: (785) 537-1938

The provider's authorized official is John R Adams .
The authorized official title is President and has the following contact phone number (785) 537-4990.

The CLIA number assigned to this NPI record is 17D0924251 - 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 6/7/2023.


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 SurgeryNo
2207NS0135XDermatologyProcedural DermatologyNo
3207N00000XDermatologyYes

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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