CONCIERGE DERMATOLOGY & SKIN SURGERY CENTER – NPI #1417442898
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

CONCIERGE DERMATOLOGY & SKIN SURGERY CENTER is a dermatologist located in HANCOCK, MI. NPPES has assigned the NPI number 1417442898 to CONCIERGE DERMATOLOGY & SKIN SURGERY CENTER on June 27, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. 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 8 years ago on Oct 31, 2018. 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 CONCIERGE DERMATOLOGY & SKIN SURGERY CENTER below.

NPI Profile for
CONCIERGE DERMATOLOGY & SKIN SURGERY CENTER

NPI Number
1417442898
Enumeration Date

(about 8 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
CONCIERGE DERMATOLOGY & SKIN SURGERY CENTER
Primary location
500 CAMPUS DR
HANCOCK, MI 49930
Phone: (906) 362-7546 Fax: (413) 269-8079
3 Other location(s):
710 S Lincoln Rd
Escanaba, MI 49829-1292
Phone: (906) 362-7546
Fax: (413) 269-8079
18341 US Highway 41
Lanse, MI 49946-8024
Phone: (906) 362-7546
Fax: (413) 269-8079
1500 Sandpoint Rd
Munising, MI 49862-1406
Phone: (709) 833-9990
Mailing address
540 S LAKESHORE BLVD UNIT 34
MARQUETTE, MI 49855-4631
Phone: (708) 833-9990 Fax:
Organization Subpart
No
Authorized Official
MERCY ODUEYUNGBO
AUTHORIZED OFFICIAL
Phone: (906) 362-7546
Updated
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)		 MI

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.