DERMATOLOGY SURGICAL ASSOCIATES, LLC – NPI #1588859946
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.

DERMATOLOGY SURGICAL ASSOCIATES, LLC is a dermatologist located in FARMINGTON, CT. NPPES has assigned the NPI number 1588859946 to DERMATOLOGY SURGICAL ASSOCIATES, LLC on September 10, 2007. 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 15 years ago on Nov 23, 2011. 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 DERMATOLOGY SURGICAL ASSOCIATES, LLC below.

NPI Profile for
DERMATOLOGY SURGICAL ASSOCIATES, LLC

NPI Number
1588859946
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
DERMATOLOGY SURGICAL ASSOCIATES, LLC
Primary location
499 FARMINGTON AVE
SUITE 230
FARMINGTON, CT 06032-1933
Phone: (860) 676-1900 Fax: (860) 409-0602
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIMOTHY CHARTIER
PHYSICIAN
Phone: (860) 676-1900
Updated
Identifiers

Identifiers for DERMATOLOGY SURGICAL ASSOCIATES, 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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNACT3672726
OTHERANTHEM BLUE CROSS/BLUE SHCT010039399CT02
OTHERCIGNACT9835320
OTHERCONNECTICARECT039399
OTHERHEALTH NETCT2V5362
OTHERMEDICARE GROUP NUMBERCTC03194
OTHEROXFORDCTP2392298
OTHERUNITED HEALTH CARECT2000464
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)
CT 039399

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.