PREMIER PROCEDURAL DERMATOLOGY PLLC – NPI #1053969287
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.

Health Care Provider Taxonomy Code for Dermatology

PREMIER PROCEDURAL DERMATOLOGY PLLC is a dermatologist located in COLLEGE STATION, TX. NPPES has assigned the NPI number 1053969287 to PREMIER PROCEDURAL DERMATOLOGY PLLC on August 30, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Apr 03, 2020. 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 PREMIER PROCEDURAL DERMATOLOGY PLLC below.

NPI Profile for
PREMIER PROCEDURAL DERMATOLOGY PLLC

NPI Number
1053969287
Enumeration Date

(about 7 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
PREMIER PROCEDURAL DERMATOLOGY PLLC
Primary location
1651 ROCK PRAIRIE RD STE 103
COLLEGE STATION, TX 77845-8652
Phone: (979) 314-5400 Fax: (979) 704-5603
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RYAN AHERN
PROVIDER/OWNER
Phone: (979) 314-5400
Updated
Certification Date
Apr 03, 2020

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
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)

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.