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

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MOHS-Micrographic Surgery Physician Providers

NPI Name Type Address

1619144433

DR. D.O. David Judy

Individual

4610 Kanawha Ave Sw

Suite 302

Charleston, WV

1639231087

DR. M.D. David Charles Carlisle

Individual

165 Scott Ave

Suite 100

Morgantown, WV

1104804632

DR. M.D. John G. Hancox

Individual

165 Scott Ave

Suite 100

Morgantown, WV

1356327951

DR. M.D. Eduardo Miguel Vidal

Individual

1400 Hal Greer Blvd Fl 2

Huntington, WV

1588059646

M.D., PH.D. Vlad Codrea

Individual

Mary Babb Randolph Cancer Center

1 Medical Center Dr.

Morgantown, WV

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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