John Lawrence Headley in Edmonds - Mohs-micrographic Surgery
John Lawrence Headley - NPI 1528093861
John Lawrence Headley is a Mohs-micrographic Surgery in Edmonds, Washington. John Lawrence Headley practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for John Lawrence Headley is 1528093861. The last update date is 2007-07-08.
John Lawrence Headley's current location address is 21600 Highway 99, Edmonds, Washington. You can contact this provider via phone number 4257742616 and fax number 4257742660. The mailing address for John Lawrence Headley is 21600 Highway 99, Edmonds, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Lawrence Headley |
|---|---|
| Address | 21600 Highway 99, Edmonds, Washington |
| Phone Number | 4257742616 |
| Fax Number | 4257742660 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528093861 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 21600 Highway 99 |
|---|---|
| City | Edmonds |
| State | Washington (WA) |
| Post Code | 980268012 |
| Phone Number | 4257742616 |
| Fax Number | 4257742660 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | MD00018010 |
|
Definition: 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1030683 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Lawrence Headley by the Centers for Medicare & Medicaid Services?
The John Lawrence Headley has been assigned the NPI (National Provider Identifier) 1528093861. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John Lawrence Headley's physical address?
The John Lawrence Headley is physically located at 21600 Highway 99, in the city of Edmonds, WA, with the postal code 980268012.
What is the John Lawrence Headley's area of specialization and corresponding taxonomy classification?
The John Lawrence Headley's specialty field is Mohs-micrographic Surgery, and it falls under the taxonomy code 207Nd0101X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1528093861 to John Lawrence Headley?
The Centers for Medicare & Medicaid Services assigned the 1528093861 to John Lawrence Headley on 2006-07-12.
As of what date were the John Lawrence Headley's details last updated?
The information pertaining to the John Lawrence Headley, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA