DERMATOLOGY SURGERY CENTER, PC – NPI #1215985601
Clinic/Center

DERMATOLOGY SURGERY CENTER, PC is an AHC clinic located in OMAHA, NE. NPPES has assigned the NPI number 1215985601 to DERMATOLOGY SURGERY CENTER, PC on May 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 15 years ago on Jul 11, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DERMATOLOGY SURGERY CENTER, PC below.

NPI Profile for
DERMATOLOGY SURGERY CENTER, PC

NPI Number
1215985601
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DERMATOLOGY SURGERY CENTER, PC
Primary location
11623 ARBOR ST
SUITE 102
OMAHA, NE 68144-2981
Phone: (402) 330-4555 Fax: (402) 330-4626
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TERESA DILTS
ADMINISTRATOR
Phone: (402) 330-4555
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 NE ASC005

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.