MOD DERMATOLOGY PC NPI 1982105425

NPI Details

MOD DERMATOLOGY PC is a dermatology in Omaha, NE. 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. MOD DERMATOLOGY PC NPI is 1982105425. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16910 FRANCES ST
OMAHA, NE
ZIP 68130-398
Phone: (402) 505-8777
Fax: (402) 933-7767

The provider's authorized official is Alaina Patera .
The authorized official title is Practice Manager and has the following contact phone number (402) 505-8777.

The CLIA number assigned to this NPI record is 28D2327118 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/21/2018 and was last updated on 1/20/2023.

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: