Bold City Dermatology Llc, NPI 1538761655
MOHS-Micrographic Surgery Physician in St Augustine, FL, 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 | 1538761655 |
| NPI Entity Type | Organization |
| Provider Name | Bold City Dermatology Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 316 Paseo Reyes Dr, St Augustine, FL, US |
| Provider Mailing Address | 316 Paseo Reyes Dr, St Augustine, FL, US, 320958464 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MD Bishr Al Dabagh |
| Official Position | OWNER |
| Phone | 704-230-1302 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | MOHS-Micrographic Surgery Physician |
| Classification | |
| Group | |
| 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? |
|---|---|---|---|---|---|
| No | |||||
| No | |||||
| No |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | Direct Mail | DIRECT | CSV | No | 316 Paseo Reyes Dr, St Augustine, FL, US |
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