Taxonomy Code 207ND0101X(207nd0101x)
MOHS-Micrographic Surgery Physician. Providers: 42

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MOHS-Micrographic Surgery Physician Providers

NPI Name Type Address

1528093861

DR. M.D. John Lawrence Headley

Individual

21600 Highway 99

#280

Edmonds, WA

1841371960

Skin Surgery Center, P.s.

Organization

1229 Madison St

Suite 1480

Seattle, WA

1043235492

M.D. Laurie Jacobson

Individual

21600 Highway 99

Ste 280

Edmonds, 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

1467673061

MD Chadd Sukut

Individual

1807 N Hutchinson Rd

Spokane Valley, WA

1780765800

MD Annalisa K Gorman

Individual

1229 Madison St

Suite 1480

Seattle, WA

1407029762

DR. M.D. Jacob Howard Bauer

Individual

304 W Bay Dr Nw

Ste 301

Olympia, 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

1710443619

Skin Surgery Clinic

Organization

1414 116th Ave Ne Ste D

Bellevue, WA

1194762898

DR. M.D. PH.D. Wirt A Hines III

Individual

902 28th St

Anacortes, WA

1831387489

Yakima Valley Dermatology Inc Ps

Organization

3911 Castlevale Rd Ste 301

Yakima, WA

1679975486

Wesley Wu

Individual

1660 S Columbian Way Bldg 18241b

Seattle, WA

1831333749

MD Kerri L Robbins

Individual

4700 Point Fosdick Dr Nw Ste 219

Gig Harbor, WA

1700848355

M.D. Justin H Piasecki

Individual

11511 Canterwood Blvd Ste 310

Gig Harbor, 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