SKIN SURGERY CLINIC
NPI 1710443619
Dermatology - MOHS-Micrographic Surgery in Bellevue, WA
NPI Status: Active since February 15, 2019
Contact Information
1414 116TH AVE NE STE D
BELLEVUE, WA
ZIP 98004
Phone: (206) 486-5189
- Organization
- Dermatology
- MOHS-Micrographic Surgery
- CLIA Number: 50D1021614
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About SKIN SURGERY CLINIC
This page provides the complete NPI Profile along with additional information for Skin Surgery Clinic, a provider established in Bellevue, Washington operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1710443619 assigned on February 2019. The practitioner's primary taxonomy code is 207ND0101X. The provider is registered as an organization and their NPI record was last updated 7 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 Linda Chang (Representative)
- NPI
- 1710443619
- Provider Name
- SKIN SURGERY CLINIC
- Entity Type
- Organization
- Location Address
- 1414 116TH AVE NE STE D BELLEVUE, WA 98004
- Location Phone
- (206) 486-5189
- Mailing Address
- 1414 116TH AVE NE STE D BELLEVUE, WA 98004
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-15-2019
- Last Update Date
- 02-15-2019
- 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
- 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.
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
- 50D1021614
- Facility Type
- Physician Office
- Certificate Effective Date
- January 27, 2004
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- ANNALISA GORMAN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Skin Surgery Clinic 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 | 7 | 1 | 0 | 4 | 4 | 3 | 6 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 8 | 4 | 6 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 8 + 4 + 6 + 6 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1710443619 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 |
|---|---|---|---|
| 1578838983 | MR. SEONGMOK YU E.A.M.P. Individual | Acupuncturist | 1414 116TH AVE NE STE D BELLEVUE, WA 98004 (425) 677-5725 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710443619, enumerated in the NPI registry as an "organization" on February 15, 2019
The provider is located at 1414 116th Ave Ne Ste D Bellevue, Wa 98004 and the phone number is (206) 486-5189
This medical organization specializes in Dermatology with taxonomy code 207ND0101X with a focus in MOHS-Micrographic Surgery
The provider's CLIA number is 50D1021614 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 February 15, 2019. 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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