LAURA ARCHIBALD M.D. – NPI #1790348472
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.

Health Care Provider Taxonomy Code for Dermatology

LAURA ARCHIBALD is a dermatologist located in LEOMINSTER, MA. NPPES has assigned the NPI number 1790348472 to LAURA ARCHIBALD on April 17, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name LAURA JOY KOOISTRA. According to the NPI Registry, there are 2 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 last updated on Apr 24, 2026. 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 LAURA ARCHIBALD below.

NPI Profile for
LAURA ARCHIBALD

NPI Number
1790348472
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LAURA ARCHIBALD
Former Name: LAURA JOY KOOISTRA
Credentials
M.D.
Primary location
80 ERDMAN WAY STE 100
LEOMINSTER, MA 01453-1840
Phone: (978) 751-9280 Fax: (978) 627-3923
2 Other location(s):
8325 S Emerson Ave Ste C1
Indianapolis, IN 46237-8559
Phone: (317) 780-7400
Fax: (317) 859-8181
954 N Samuel Moore Pkwy Ste C
Mooresville, IN 46158-1475
Phone: (317) 834-5466
Fax: (317) 584-3794
Mailing address
526 MAIN ST STE 302
ACTON, MA 01720-3301
Phone: (978) 371-7010 Fax: (978) 371-0522
Sole Proprietor
No
Updated
Certification Date
Apr 24, 2026

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)		 MA 1023399
207N00000X
- Dermatology		 MA 1023399

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
415 S LANDMARK AVE,
BLOOMINGTON, IN 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
8325 S EMERSON AVE STE C1,
INDIANAPOLIS, IN 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
954 N SAMUEL MOORE PKWY STE C,
MOORESVILLE, IN 77025-1669

Additional Information

Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.