Taxonomy Code 207ND0101X(207nd0101x)
MOHS-Micrographic Surgery Physician. Providers: 5

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MOHS-Micrographic Surgery Physician Providers

NPI Name Type Address

1174653299

Western Dermatology Consultants Pc

Organization

10151 Montgomery Blvd Ne

Bldg. 1 Ste. A

Albuquerque, NM

1194710442

DR. MD Sky B Connolly

Individual

5310 Homestead Rd Ne

Suite 301

Albuquerque, NM

1124024880

DR. M.D. David A. Davis

Individual

6200 Uptown Blvd Ne Ste 410

Albuquerque, NM

1366539413

MD Daniel Alyn Davis

Individual

6200 Uptown Blvd #104

Albuquerque, NM

1326332123

M.D. Ethan C Levin

Individual

5600 Eubank Blvd Ne Ste 110

Albuquerque, NM

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Taxonomy Code 207ND0101X
Specialization MOHS-Micrographic Surgery
Display Name MOHS-Micrographic Surgery Physician
Taxonomy Group Allopathic & Osteopathic Physicians
Taxonomy Classification Dermatology
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 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.
Effective Date September 30, 2009
Modification Date September 30, 2009
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Dermatology Codes

Clinical & Laboratory Dermatological Immunology Physician

207NI0002X • providers: 88

Dermatology Physician

207N00000X • providers: 19,711

Dermatopathology Physician

207ND0900X • providers: 635

Pediatric Dermatology Physician

207NP0225X • providers: 220

Procedural Dermatology Physician

207NS0135X • providers: 936