Taxonomy Code 207ND0101X(207nd0101x)
MOHS-Micrographic Surgery Physician. Providers: 13

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MOHS-Micrographic Surgery Physician Providers

NPI Name Type Address

1902171895

M R Hinckley Md Pllc

Organization

602 Fort Union Blvd

2nd Floor

Midvale, UT

1699797811

MD Michael L Hadley

Individual

1560 Renaissance Towne Dr

Ste 210

Bountiful, UT

1508826587

DR. MD John S Blake

Individual

210 W 300 N 7-3

Roosevelt, UT

1710242235

DR. M.D. Breton Adam Orel Yates

Individual

1548 E 4500 S

Ste 202

Salt Lake City, UT

1598086720

DR. D.O. Cory B Maughan

Individual

169 N Gateway Dr Ste 100

Providence, UT

1568029957

Cbm Derm Llc

Organization

169 N Gateway Dr Ste 100

Providence, UT

1457666562

DR. D.O. Jared Heaton

Individual

434 E 5350 S Ste D

Ogden, UT

1932573912

D.O Sealtiel Adrian Tinajero

Individual

861 N Main St

Richfield, UT

1811239148

M.D. Jessica Makanalani Donigan

Individual

30 N 1900 E

4a330 School Of Medicine

Salt Lake City, UT

1770779050

DR. M.D. Keith Duffy

Individual

University Of Utah Dept Of

50 N Medical Dr

Salt Lake City, UT

1821299751

DR. D.O. Chad Peterson

Individual

114 E 800 N

Spanish Fork, UT

1063481646

DR. Michael P Eyre

Individual

114 E 800 N

Spanish Fork, UT

1851631436

DR. M.D. Adam Jon Tinklepaugh

Individual

30 N 1900 E # 4a330

Salt Lake City, UT

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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