HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA – NPI #1639254014
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.

HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA is a dermatologist located in HILTON HEAD ISLAND, SC. NPPES has assigned the NPI number 1639254014 to HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA on October 26, 2006. 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 11 years ago on Jul 08, 2015. 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 HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA below.

NPI Profile for
HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA

NPI Number
1639254014
Enumeration Date

(more than 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
HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA
Primary location
15 HOSPITAL CENTER BLVD STE 1
HILTON HEAD ISLAND, SC 29926-2760
Phone: (843) 689-9200 Fax: (843) 689-9201
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALBERT BUNDY
PRESIDENT
Phone: (843) 689-9200
Updated
Identifiers

Identifiers for HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA

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.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP1264
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)
SC SC14710

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.