ADVANCED DERMATOLOGY, INC – NPI #1750466934
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.

ADVANCED DERMATOLOGY, INC is a dermatologist located in MCALESTER, OK. NPPES has assigned the NPI number 1750466934 to ADVANCED DERMATOLOGY, INC 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 15 years ago on Oct 03, 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 ADVANCED DERMATOLOGY, INC below.

NPI Profile for
ADVANCED DERMATOLOGY, INC

NPI Number
1750466934
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
ADVANCED DERMATOLOGY, INC
Primary location
1030 E WASHINGTON AVE
MCALESTER, OK 74501-4850
Phone: (918) 426-1616 Fax: (918) 426-2808
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GARY AUGTER
OWNER
Phone: (918) 426-1616
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)
OK 3536

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.