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THE DERMATOLOGY AND SKIN CANCER CLINIC OF ALASKA NPI 1831227289


NPI Information

NPI: 1831227289
Provider Name: THE DERMATOLOGY AND SKIN CANCER CLINIC OF ALASKA
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
180 E BELUGA AVE
SOLDOTNA, AK
ZIP 99669
Phone: (907) 262-7546
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THE DERMATOLOGY AND SKIN CANCER CLINIC OF ALASKA is a mohs-micrographic surgery dermatology in Soldotna, AK. 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. THE DERMATOLOGY AND SKIN CANCER CLINIC OF ALASKA NPI is 1831227289. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

180 E BELUGA AVE
SOLDOTNA, AK
ZIP 99669-002
Phone: (907) 262-7546
Fax: (907) 262-7599

The provider's authorized official is Mathew M Cannava .
The authorized official title is President and has the following contact phone number (907) 262-7546.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 12/6/2017.


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
1174400000XSpecialistNo
2207N00000XDermatologyNo
3207ND0900XDermatologyDermatopathologyNo
4207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyNo
5207NP0225XDermatologyPediatric DermatologyNo
6207NS0135XDermatologyProcedural DermatologyNo
7207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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
1MD16711MEDICAIDALASKA

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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