Advanced Dermatologic Surgery, P.A. in Overland Park - Specialist
Advanced Dermatologic Surgery, P.A. - NPI 1003016312
Advanced Dermatologic Surgery, P.A. is a Specialist in Overland Park, Kansas. Advanced Dermatologic Surgery, P.A. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Advanced Dermatologic Surgery, P.A. is 1003016312. The last update date is 2022-06-03.
Advanced Dermatologic Surgery, P.A.'s current location address is 6901 W 121st St, Overland Park, Kansas. You can contact this provider via phone number 9136611755 and fax number 9136619260. The mailing address for Advanced Dermatologic Surgery, P.A. is 6901 W 121st St, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Dermatologic Surgery, P.A. |
|---|---|
| Address | 6901 W 121st St, Overland Park, Kansas |
| Phone Number | 9136611755 |
| Fax Number | 9136619260 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Albers Greg |
| Credentials | MPA |
| Telephone Number | 9136611755 |
NPI Number Detail
| NPI Number | 1003016312 |
|---|---|
| Provider Enumeration Date | 2007-07-24 |
| Last Updated Date | 2022-06-03 |
Provider Mailing Address Detail
| Address | 6901 W 121st St |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662092007 |
| Phone Number | 9136611755 |
| Fax Number | 9136619260 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 04-25136 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17D0890923 | CLIA # |
Post Comment/ Review Below
What is the unique identification code assigned to Advanced Dermatologic Surgery, P.A. by the Centers for Medicare & Medicaid Services?
The Advanced Dermatologic Surgery, P.A. has been issued the NPI (National Provider Identifier) 1003016312. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Advanced Dermatologic Surgery, P.A.?
The Advanced Dermatologic Surgery, P.A. is physically situated at 6901 W 121St St, in the city of Overland Park, state of KS, with the postal code 662092007.
What is Advanced Dermatologic Surgery, P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Advanced Dermatologic Surgery, P.A. is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did Advanced Dermatologic Surgery, P.A. receive its 1003016312 assignment from the Centers for Medicare & Medicaid Services?
The Advanced Dermatologic Surgery, P.A. was assigned its 1003016312 on 2007-07-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Advanced Dermatologic Surgery, P.A., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Advanced Dermatologic Surgery, P.A., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-06-03.
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