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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0761046 | 05 |
Street Address |
230 HARRISBURG AVE STE 4 |
City | LANCASTER |
State | PA |
Zip Code | 17603-2959 |
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 |
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 |
Find all providers in zip 17603 |
Taxonomy Code | 207NS0135X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Procedural Dermatology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871776492 | Lawrence Marshall Field | Dermatology | 230 Harrisburg Ave, Suite 4, Lancaster, PA 17603-2959 | 2007-12-06 |
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 |
Find all providers with the same taxonomy |
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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.