ADVANCED DERMATOLOGIC SURGERY – NPI #1003016312
Dermatology

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.

ADVANCED DERMATOLOGIC SURGERY is a dermatologist located in OVERLAND PARK, KS. NPPES has assigned the NPI number 1003016312 to ADVANCED DERMATOLOGIC SURGERY on July 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED DERMATOLOGIC SURGERY” is a dba name, the actual legal business name for this organization is ADVANCED DERMATOLOGIC SURGERY, P.A.. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 4 years ago on Jun 03, 2022. 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 ADVANCED DERMATOLOGIC SURGERY below.

NPI Profile for
ADVANCED DERMATOLOGIC SURGERY, P.A.

NPI Number
1003016312
Enumeration Date

(about 19 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
ADVANCED DERMATOLOGIC SURGERY, P.A.
Doing Business As (dba): ADVANCED DERMATOLOGIC SURGERY
Other name(s)
All associated names:
Doing Business As (dba)
ADVANCED DERMATOLOGIC SURGERY
Doing Business As (dba)
Trinity Dermatology
Primary location
6901 W 121ST ST
OVERLAND PARK, KS 66209-2007
Phone: (913) 661-1755 Fax: (913) 661-9260
1 Other location(s):
6410 N Cosby Ave
Kansas City, MO 64151-2377
Phone: (816) 643-4501
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GREG ALBERS
CFO
Phone: (913) 661-1755
Updated
Certification Date
Jun 03, 2022

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.

Identifiers

Identifiers for ADVANCED DERMATOLOGIC SURGERY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCLIA #17D0890923
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
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)
291U00000X
- Clinical Medical Laboratory
KS 04-25136
174400000X
- Specialist
KS 04-25136

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
6901 W 121ST ST,
OVERLAND PARK, KS 77025-1669