DR. CLANCY HAGEDORN JOHNSON M.D. NPI 1275591315

NPI Details

DR. Clancy Hagedorn Johnson, M.D. is a dermatology in Cullman, AL with 24 years of experience. 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. DR. Clancy Hagedorn Johnson, M.D. NPI is 1275591315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

1300 BRIDGE CREEK DR. NE
SUITE A
CULLMAN, AL
ZIP 35055
Phone: (256) 737-7546
Fax: (256) 841-6180

The NPI 1275591315 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 precancer skin growth, 2-14 growths (HCPCS:17003)
• Biopsy of related skin growth, each additional growth (HCPCS:11103)
• Biopsy of related skin growth, first growth (HCPCS:11102)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Destruction of precancer skin growth, 1 growth (HCPCS:17000)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
• Destruction of skin growth, 1-14 growths (HCPCS:17110)
• Destruction of cancer skin growth of trunk, arms, or legs, more than 4.0 cm (HCPCS:17266)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Destruction of cancer skin growth of trunk, arms, or legs, 3.1-4.0 cm (HCPCS:17264)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Destruction of skin growth, 15 or more growths (HCPCS:17111)
• Shaving of skin growth of body, arms, or legs, more than 2.0 cm (HCPCS:11303)

The enumeration date for this NPI number is 5/1/2006 and was last updated on 5/16/2016.

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:

Other Identifiers

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