DESERT DERMATOLOGY AND SURGERY LLC – NPI #1902626047
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

DESERT DERMATOLOGY AND SURGERY LLC is a dermatologist located in IVINS, UT. NPPES has assigned the NPI number 1902626047 to DESERT DERMATOLOGY AND SURGERY LLC on October 14, 2024. 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

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 DESERT DERMATOLOGY AND SURGERY LLC below.

NPI Profile for
DESERT DERMATOLOGY AND SURGERY LLC

NPI Number
1902626047
Enumeration Date

(more than a year 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
DESERT DERMATOLOGY AND SURGERY LLC
Primary location
272 E CENTER ST STE 102
IVINS, UT 84738-6456
Phone: (307) 413-3752 Fax:
Mailing address
756 W SHINAVA DR
IVINS, UT 84738-6713
Phone: (307) 413-3752 Fax:
Organization Subpart
No
Authorized Official
CHRISTIAN ANDERSON
PHYSICIAN OWNER
Phone: (307) 413-3752
Updated
Certification Date
Oct 14, 2024

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)

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.