DESERT MOUNTAIN SKIN CANCER SURGERY, LLC – NPI #1104378314
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.

DESERT MOUNTAIN SKIN CANCER SURGERY, LLC is a dermatologist located in SANTA FE, NM. NPPES has assigned the NPI number 1104378314 to DESERT MOUNTAIN SKIN CANCER SURGERY, LLC on November 04, 2016. 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 9 years ago on Jan 18, 2017. 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 DESERT MOUNTAIN SKIN CANCER SURGERY, LLC below.

NPI Profile for
DESERT MOUNTAIN SKIN CANCER SURGERY, LLC

NPI Number
1104378314
Enumeration Date

(more than 9 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
DESERT MOUNTAIN SKIN CANCER SURGERY, LLC
Primary location
2019 GALISTEO STREET
SUITE N-9B
SANTA FE, NM 87505
Phone: (505) 980-8738 Fax: (505) 404-8423
Mailing address
PO BOX 604
PLACITAS, NM 87043-0604
Phone: (505) 980-8738 Fax:
Organization Subpart
No
Authorized Official
DIANE REISINGER
PHYSICIAN
Phone: (505) 980-8738
Updated
Identifiers

Identifiers for DESERT MOUNTAIN SKIN CANCER SURGERY, LLC

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
MEDICAIDNM1003975699
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)
NM MD2011-0829

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.