EDGAR MAEYENS MD NPI 1871574947

NPI Information

  • NPI: 1871574947
  • Provider Name: EDGAR MAEYENS, MD
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • Address: 375 PARK AVE
    SUITE 5
    COOS BAY, OR
    ZIP 97420
  • Phone: (541) 267-7543

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NPI Details

Edgar Maeyens, MD is a mohs-micrographic surgery dermatology in Coos Bay, OR. 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. Edgar Maeyens, MD NPI is 1871574947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

375 PARK AVE
SUITE 5
COOS BAY, OR
ZIP 97420-242
Phone: (541) 267-7543
Fax: (541) 267-2076

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.

  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)

The enumeration date for this NPI number is 11/7/2005 and was last updated on 12/5/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic SurgeryMD08528OREGONYes

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: 11/21/2025

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