CORY B. MAUGHAN D.O. – NPI #1598086720
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.

CORY MAUGHAN is a dermatologist located in PROVIDENCE, UT. NPPES has assigned the NPI number 1598086720 to CORY MAUGHAN on June 22, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. 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 3 years ago on Feb 16, 2023. 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 CORY MAUGHAN below.

NPI Profile for
CORY B. MAUGHAN

NPI Number
1598086720
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CORY B. MAUGHAN
Credentials
D.O.
Primary location
169 N GATEWAY DR STE 100
PROVIDENCE, UT 84332
Phone: (541) 999-4475 Fax:
1 Other location(s):
5600 Eubank Blvd NE Ste 110
Albuquerque, NM 87111-1519
Phone: (505) 292-5850
Mailing address
7300 RANCH ROAD 2222, BLDG 1, STE 200
AUSTIN, TX 78730-3255
Phone: (512) 759-8932 Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 06, 2022

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)
UT 9869105-1204
208D00000X
- General Practice
OR PG151474
207N00000X
- Dermatology
OR DO155462

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.

Additional Information

Education
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED - Graduated 2010
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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