SUSAN TERI MCGILLIS


Address: 230 Harrisburg Ave, Ste 4, Lancaster, PA 17603-2959
Phone: 7173999800

SUSAN TERI MCGILLIS (NPI# 1750345278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750345278
Entity Type Individual
Full Name SUSAN TERI MCGILLIS
Credential M.D.
Practice Address 230 Harrisburg Ave
Ste 4
Lancaster
PA 17603-2959
Practice Telephone 7173999800
Practice Fax Number 7173997613
Mailing Telephone 7173999800
Mailing Fax Number 7173997613
Enumeration Date 2006-04-13
Last Update Date 2016-12-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology MD430176 PA Allopathic & Osteopathic Physicians
N 207N00000X Dermatology 35058536M OH Allopathic & Osteopathic Physicians
N 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
MD430176 PA Allopathic & Osteopathic Physicians
Y 207NS0135X Dermatology
Specialization: Procedural Dermatology
MD430176 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0761046 05

Office Location

Street Address 230 HARRISBURG AVE
STE 4
City LANCASTER
State PA
Zip Code 17603-2959

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386941987 Daniel T O'donnell Dentist 230 Harrisburg Ave, Lancaster, PA 17603 2011-02-16
1871776492 Lawrence Marshall Field Dermatology 230 Harrisburg Ave, Suite 4, Lancaster, PA 17603-2959 2007-12-06
1497975460 O'donnell and Phillips LLC Dentist 230 Harrisburg Ave, Suite 5, Lancaster, PA 17603-2959 2007-05-01
1619006210 Christian A Silvaggio Dentist 230 Harrisburg Ave, Lancaster, PA 17603-2959 2007-03-02
1245386556 Dermasurgery Center, P.C. Dermatology 230 Harrisburg Ave, Ste 4, Lancaster, PA 17603 2007-01-27
1659468627 Joseph Michael Kosakoski Jr. Family Medicine 230 Harrisburg Ave, Suite 8, Lancaster, PA 17603-2959 2006-10-09
1083712699 Rudolph F Rigano Jr. Internal Medicine 230 Harrisburg Ave, Suite 2, Lancaster, PA 17603-2959 2006-09-20
1326151499 Wendell Lavern Funk Plastic Surgery 230 Harrisburg Ave, Suite 7, Lancaster, PA 17603-2959 2006-08-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235757311 Meadow Grove Counseling, LLC Counselor 822 Marietta Avenue, Lancaster, PA 17603 2020-07-06
1386274355 Bristeena K Peter Registered Nurse 122 Broadstone St, Lancaster, PA 17603 2020-01-18
1164926457 Kelly Fickett Registered Nurse 100 Rohrstown Rd, Suite A, Lancaster, PA 17603 2018-03-21
1063929115 Lancaster Behavioral Health Hospital LLC Psychiatric Hospital 333 Harrisburg Ave, Lancaster, PA 17603 2018-01-10
1659880458 Young Men's Christian Association of Lancaster County Health Educator 265 Harrisburg Ave, Lancaster, PA 17603 2017-09-25
1447779228 Joshua Michael Saez Licensed Practical Nurse 410 N Prince St., Lancaster, PA 17603 2017-09-13
1689190126 Leeann Koch Audiologist 2160 Noll Drive, Suite 100, Lancaster, PA 17603 2017-08-16
1972950327 T. W. Ponessa and Associates Counseling Services, Inc. Community/Behavioral Health 354 N. Prince Street, Suite 120, Lancaster, PA 17603 2016-05-16
1366804833 Yesenia Colon Rivera Psychologist 812 North Prince St., Lancaster, PA 17603 2016-03-24
1073975959 Laura Morse Counselor 48 N Queen St, Lancaster, PA 17603 2016-03-22
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Taxonomy Information

Taxonomy Code 207NS0135X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Procedural Dermatology

Taxonomy Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871776492 Lawrence Marshall Field Dermatology 230 Harrisburg Ave, Suite 4, Lancaster, PA 17603-2959 2007-12-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558901025 Bucks County Dermaesthetics Dermatology 1 Summit Square Ctr, Langhorne, PA 19047-1091 2020-01-13
1871047365 Forefront Dermatology, S.c. Dermatology 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 2016-08-12
1588020721 Forefront Dermatology, S.c. Dermatology 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 2016-01-04
1124483623 Forefront Dermatology, S.c. Dermatology 4731 Route 30, Suite 402, Greensburg, PA 15601 2015-12-28
1801214754 Horace Macvaugh IIi Dermatology 2813 Bristol Pike, Capri Clinic, Bensalem, PA 19020 2014-03-28
1821329004 Stephen G Wiener Dermatology 44 Meadow Glen Ln, Reading, PA 19607-9427 2010-01-27
1730373432 Anne Marie C. Angeles M.d. P.C. Dermatology 1440 Mckean St, Philadelphia, PA 19145-2308 2007-09-05
1417081803 Louis Alfred Brown Jr. Dermatology 6326 Rising Sun Ave, Philadelphia, PA 19111-5630 2007-03-15
1174674899 Judith I Arluk Dermatology 1987 Centurion Dr, Suite 001, Forest Hills, Pittsburgh, PA 15221 2007-01-16
1679650006 Proctor and Proctor PC Dermatology 1227 Westside Ave, Honesdale, PA 18431-1715 2006-11-01
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Competitor

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City LANCASTER
Zip Code 17603

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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