DR. D.O. Oliver Jayme Wisco, NPI 1164545166
MOHS-Micrographic Surgery Physician in Bend, OR, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1164545166 |
| NPI Entity Type | Individual |
| Provider Name | DR. D.O. Oliver Jayme Wisco |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | Dermatology Health Spcecialist, 1693 Sw Chandler Ave Suite 250, Bend, OR, US |
| Provider Mailing Address | 110 Elm St, Providence, RI, US, 029034626 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | MOHS-Micrographic Surgery Physician |
| Classification | |
| Group | |
| License No. | DO01032 |
| License State | RI |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| DOS-1007 | HI | No | |||
| 243103 | MA | No | |||
| DO157812 | OR | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 12729019 | OR | CAQH | 01 |
| 500674728 | OR | MEDICAID | 05 |
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