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ADVANCED DERMATOLOGY AND COSMETIC SURGERY LLC NPI 1427216365


NPI Information

NPI: 1427216365
Provider Name: ADVANCED DERMATOLOGY AND COSMETIC SURGERY LLC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
303 S WALNUT ST
SEYMOUR, IN
ZIP 47274
Phone: (812) 358-7705
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ADVANCED DERMATOLOGY AND COSMETIC SURGERY LLC is a mohs-micrographic surgery dermatology in Seymour, IN. 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. ADVANCED DERMATOLOGY AND COSMETIC SURGERY LLC NPI is 1427216365. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

303 S WALNUT ST
SEYMOUR, IN
ZIP 47274-368
Phone: (812) 358-7705

The provider's authorized official is Kevin Michael Crawford .
The authorized official title is Dermatologist and has the following contact phone number (812) 358-7705.

The enumeration date for this NPI number is 5/28/2008 and was last updated on 8/8/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatology01063019AINDIANANo
2207NS0135XDermatologyProcedural Dermatology01063019AINDIANANo
3207ND0101XDermatologyMOHS-Micrographic Surgery01063019AINDIANAYes

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: 5/5/2024

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