THE CUTANEOUS LASER CENTER
NPI 1487843199
Dermatology - Procedural Dermatology in Jackson, MS

NPI Status: Active since October 18, 2007

Contact Information

501 MARSHALL ST STE 606
JACKSON, MS
ZIP 39202
Phone: (601) 355-8555
Fax: (601) 355-2244

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  • Organization
  • Dermatology
  • Procedural Dermatology
  • Accepts Insurance

About THE CUTANEOUS LASER CENTER

This page provides the complete NPI Profile along with additional information for The Cutaneous Laser Center, a provider established in Jackson, Mississippi operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1487843199 assigned on October 2007. The practitioner's primary taxonomy code is 207NS0135X with license number 14238 (MT). The provider is registered as an organization and their NPI record was last updated 18 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 Sabra Sullivan M.d.phd (Manager)

NPI
1487843199
Provider Name
THE CUTANEOUS LASER CENTER
Entity Type
Organization
Location Address
501 MARSHALL ST STE 606 JACKSON, MS 39202
Location Phone
(601) 355-8555
Location Fax
(601) 355-2244
Mailing Address
501 MARSHALL ST STE 606 JACKSON, MS 39202
Mailing Phone
(601) 355-8555
Mailing Fax
(601) 355-2244
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2007
Last Update Date
10-18-2007
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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 Procedural Dermatology

Taxonomy Code
207NS0135X
Type
Allopathic & Osteopathic Physicians
License No.
14238
License State
MT
Taxonomy Description
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

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:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • 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

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SABRA SULLIVAN M.D.PHD

Authorized Official Title
MANAGER
Authorized Official Phone
(601) 355-8555

Reviews for THE CUTANEOUS LASER CENTER

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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.
1487843199
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671646118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 6 + 4 + 6 + 1 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1487843199 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235318874DERMATOLOGY ASSOCIATES LLC
Organization
Clinic/Center (Medical Specialty)501 MARSHALL ST STE 606
JACKSON, MS 39202
(601) 355-8555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487843199, enumerated in the NPI registry as an "organization" on October 18, 2007

The provider is located at 501 Marshall St Ste 606 Jackson, Ms 39202 and the phone number is (601) 355-8555

This medical organization specializes in Dermatology with taxonomy code 207NS0135X with a focus in Procedural Dermatology

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 18, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.