SKIN & MOHS SURGERY CENTER, LLC – NPI #1669577524
Clinic/Center

SKIN & MOHS SURGERY CENTER, LLC is an AHC clinic located in LEAWOOD, KS. NPPES has assigned the NPI number 1669577524 to SKIN & MOHS SURGERY CENTER, LLC on September 14, 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 last updated on Apr 27, 2026. 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 SKIN & MOHS SURGERY CENTER, LLC below.

NPI Profile for
SKIN & MOHS SURGERY CENTER, LLC

NPI Number
1669577524
Enumeration Date

(about 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
SKIN & MOHS SURGERY CENTER, LLC
Primary location
11550 GRANADA ST
LEAWOOD, KS 66211-1453
Phone: (913) 451-7546 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - SKIN & MOHS SURGERY CENTER, LLC is subpart of another organization.
Authorized Official
GLENN GOLDSTEIN
MEDICAL DIRECTOR
Phone: (913) 451-7546
Updated
Certification Date
Apr 27, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)		 KS S046023

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.