SEAPORT DERMATOLOGY – NPI #1376575324
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.
SEAPORT DERMATOLOGY is a dermatologist located in MYSTIC, CT. NPPES has assigned the NPI number 1376575324 to SEAPORT DERMATOLOGY on July 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SEAPORT DERMATOLOGY” is a dba name, the actual legal business name for this organization is JOHN R. WEST MD INC. 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 13 years ago on Feb 06, 2013. 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 SEAPORT DERMATOLOGY below.
NPI Profile for
JOHN R. WEST MD INC
(about 20 years ago)
SUITE 2
MYSTIC, CT 06355-2524 Phone: (860) 572-9994 Fax: (860) 572-9930
MYSTIC, CT 06355-2524 Phone: (860) 572-9994 Fax: (860) 572-9930
PRESIDENT
Phone: (860) 572-9994
Identifiers for SEAPORT DERMATOLOGY
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS BLUE SHIELD | CT | 010044204CT01 |
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.