DERMATOLOGIC SURGERY ASSOCIATES
NPI 1013118959
Dermatology - MOHS-Micrographic Surgery in Greenfield, WI
NPI Status: Active since May 29, 2007
Contact Information
6790 W LAYTON AVE
GREENFIELD, WI
ZIP 53220
Phone: (414) 325-8500
- Organization
- Dermatology
- MOHS-Micrographic Surgery
- Accepts Insurance
- CLIA Number: 52D1030698
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-27-2025
About DERMATOLOGIC SURGERY ASSOCIATES
This page provides the complete NPI Profile along with additional information for Dermatologic Surgery Associates, a provider established in Greenfield, Wisconsin operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1013118959 assigned on May 2007. The practitioner's primary taxonomy code is 207ND0101X with license number 31502-020 (WI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Anthony G Yug M.d. (Physician)
- NPI
- 1013118959
- Provider Name
- DERMATOLOGIC SURGERY ASSOCIATES
- Entity Type
- Organization
- Location Address
- 6790 W LAYTON AVE GREENFIELD, WI 53220
- Location Phone
- (414) 325-8500
- Mailing Address
- PO BOX 20768 GREENFIELD, WI 53220
- Mailing Phone
- (414) 325-8500
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-29-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology MOHS-Micrographic Surgery
- Taxonomy Code
- 207ND0101X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 31502-020
- License State
- WI
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1811040926 | OTHER (01) | WI | NPI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D1030698
- Facility Type
- Physician Office
- Certificate Effective Date
- June 28, 2023
- Certificate Expiration Date
- June 27, 2025
- Laboratory Director
- DR. ANTHONY G. YUG
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Dermatologic Surgery Associates after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 1 | 1 | 8 | 9 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 2 | 1 | 16 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 2 + 1 + 1 + 6 + 9 + 1 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1013118959 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811040926 | ANTHONY GEORGE YUG M.D. Individual | Dermatology | 6790 W LAYTON AVE GREENFIELD, WI 53220 (414) 325-8500 |
| 1629367339 | REICHERT & KELSEY PROSTHETICS ORTHOTICS, LLC Organization | Prosthetic/Orthotic Supplier | 6790 W LAYTON AVE GREENFIELD, WI 53220 (414) 282-3100 |
| 1164796496 | KELSEY PROSTHETICS ORTHOTICS LLC Organization | Prosthetic/Orthotic Supplier | 6790 W LAYTON AVE GREENFIELD, WI 53220 (414) 282-3100 |
| 1205632379 | KELSEY PROSTHETICS ORTHOTICS LLC Organization | Prosthetic/Orthotic Supplier | 6790 W LAYTON AVE GREENFIELD, WI 53220 (414) 282-3100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013118959, enumerated in the NPI registry as an "organization" on May 29, 2007
The provider is located at 6790 W Layton Ave Greenfield, Wi 53220 and the phone number is (414) 325-8500
This medical organization specializes in Dermatology with taxonomy code 207ND0101X with a focus in MOHS-Micrographic Surgery
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D1030698 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on May 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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