Dermatology Surgical Associates, Llc, NPI 1588859946
MOHS-Micrographic Surgery Physician in Farmington, CT, 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 | 1588859946 |
| NPI Entity Type | Organization |
| Provider Name | Dermatology Surgical Associates, Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 499 Farmington Ave, Suite 230, Farmington, CT, US |
| Provider Mailing Address | 499 Farmington Ave, Suite 230, Farmington, CT, US, 060321933 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. Timothy Kyle Chartier |
| Official Position | PHYSICIAN |
| Phone | 860-676-1900 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | MOHS-Micrographic Surgery Physician |
| Classification | |
| Group | |
| License No. | 039399 |
| License State | CT |
| 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. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 9835320 | CT | CIGNA | 01 |
| 2V5362 | CT | HEALTH NET | 01 |
| 039399 | CT | CONNECTICARE | 01 |
| 2000464 | CT | UNITED HEALTH CARE | 01 |
| C03194 | CT | MEDICARE GROUP NUMBER | 01 |
| P2392298 | CT | OXFORD | 01 |
| 3672726 | CT | AETNA | 01 |
| 010039399CT02 | CT | ANTHEM BLUE CROSS/BLUE SH | 01 |
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