NPI Details
Johnny Gurgen, D.O. is a dermatology in Lady Lake, FL with 20 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. Johnny Gurgen, D.O. NPI is 1962666966. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: OAKLAND COLLEGE OF MEDICINE AND SURGERY
Graduation Year:2006
The provider's business location address is:
920 ROLLING ACRES RD UNIT 203
LADY LAKE, FL
ZIP 32159-029
Phone: (352) 435-7695
Fax: (352) 435-7453
The NPI 1962666966 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 CLIA number assigned to this NPI record is 10D2086122 - physician office with a certificate type of Certificate of Compliance.
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.
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Superficial and/or low voltage radiation treatment delivery (HCPCS:77401)
- Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
- Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
- Calculation of radiation therapy dose (HCPCS:77300)
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm (HCPCS:13131)
- Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
- Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm (HCPCS:13120)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
- Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
- Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks (HCPCS:17314)
- Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
- Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
- Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less (HCPCS:14020)
- Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm (HCPCS:13151)
- Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
- Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15275)
- Complicated repair of wound of trunk, 1.1-2.5 cm (HCPCS:13100)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 7/18/2008 and was last updated on 6/11/2019.
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 |
| 1 | 207ND0101X | Dermatology | MOHS-Micrographic Surgery | OS10423 | FLORIDA | No |
| 2 | 207N00000X | Dermatology | | OS10423 | FLORIDA | Yes |
