VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER – NPI #1598056582
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.

VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER is a dermatologist located in FREDERICKSBURG, VA. NPPES has assigned the NPI number 1598056582 to VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER on April 25, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 6 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, 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 5 years ago on Aug 25, 2021. 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 VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER below.

NPI Profile for
VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER

NPI Number
1598056582
Enumeration Date

(more than 15 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
VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER
Primary location
1985 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401-5298
Phone: (540) 373-6647 Fax: (540) 479-1656
6 Other location(s):
2616 Sherwood Hall Ln Ste 306
Alexandria, VA 22306-3154
Phone: (540) 373-6647
Fax: (540) 479-1656
6101 Redwood Square Ctr Ste 117
Centreville, VA 20121-4266
Phone: (571) 400-2110
Fax: (571) 400-2151
385 Garrisonville Rd Ste 205
Stafford, VA 22554-1599
Phone: (540) 373-6647
Fax: (540) 479-1656
492 Blackwell Rd Ste 200
Warrenton, VA 20186-2682
Phone: (540) 930-0607
Fax: (540) 930-0608
13875 Hedgewood Dr
Woodbridge, VA 22193-7930
Phone: (540) 373-6647
Fax: (540) 479-1656
1982 Opitz Blvd
Woodbridge, VA 22191-3304
Phone: (540) 373-6647
Fax: (540) 479-1656
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK EID
MEDICAL DIRECTOR
Phone: (540) 373-6647
Updated
Certification Date
Aug 25, 2021

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)
VA 0101249163
207ND0900X
- Dermatology / Dermatopathology

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.