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SKIN SURGERY CENTER P.S. NPI 1841371960


NPI Information

NPI: 1841371960
Provider Name: SKIN SURGERY CENTER, P.S.

Doing Business As: SKIN SURGERY CENTER

Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 50D0940656

Address:
1229 MADISON ST
SUITE 1480
SEATTLE, WA
ZIP 98104
Phone: (206) 346-6647
Get Directions

SKIN SURGERY CENTER, P.S. is a mohs-micrographic surgery dermatology in Seattle, WA. 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. SKIN SURGERY CENTER, P.S. NPI is 1841371960. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Skin Surgery Center.

The provider's business location address is:

1229 MADISON ST
SUITE 1480
SEATTLE, WA
ZIP 98104-586
Phone: (206) 346-6647
Fax: (206) 346-6022

The provider's authorized official is Peter B Odland .
The authorized official title is President and has the following contact phone number (206) 346-6647.

The CLIA number assigned to this NPI record is 50D0940656 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 4/20/2008.


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 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
1GAB37422MEDICARE PINWASHINGTON
2GAB17739MEDICARE PINWASHINGTON
3=========OTHERWASHINGTONEIN

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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