Taxonomy Code 207ND0101X(207nd0101x)
MOHS-Micrographic Surgery Physician. Providers: 15

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MOHS-Micrographic Surgery Physician Providers

NPI Name Type Address

1841371960

Skin Surgery Center, P.s.

Organization

1229 Madison St

Suite 1480

Seattle, WA

1235217951

MD Jack E. Sebben

Individual

1229 Madison St Ste 1480

Seattle, WA

1386688380

DR. MD Darrell Jonathan Fader

Individual

1801 Nw Market St

Suite 107

Seattle, WA

1023063716

DR. MD Ravi S Krishnan

Individual

1100 9th Ave

Seattle, WA

1093896102

DR. MD Peter Brierley Odland

Individual

1229 Madison St

Suite 1480

Seattle, WA

1780765800

MD Annalisa K Gorman

Individual

1229 Madison St

Suite 1480

Seattle, WA

1730390055

M.D. Jeremy Kampp

Individual

4225 Roosevelt Way Ne

Seattle, WA

1669422994

DR. M.D. Craig Steven Birkby

Individual

1229 Madison Street

Suite 1090

Seattle, WA

1760549950

M.D. Daniel Berg

Individual

1229 Madison Street

Suite 1090

Seattle, WA

1386905917

M.D. Kelly Anne Griffith-bauer

Individual

509 Olive Way Ste 200&900

Seattle, WA

1679975486

Wesley Wu

Individual

1660 S Columbian Way Bldg 18241b

Seattle, WA

1043259856

DR. MD Jennifer Lynn Reichel

Individual

11011 Meridian Ave N

Suite 102

Seattle, WA

1083840565

DR. MD Cheryl Janene Gustafson

Individual

3216 Ne 45th Pl Ste 101

Seattle, WA

1730399270

MR. M.D. Scott Normile Isenhath

Individual

125 16th Ave E

Seattle, WA

1427181536

Linda C Chang

Individual

4225 Roosevelt Way Ne

Seattle, WA

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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