CENTER FOR SKIN SURGERY PLLC (NPI# 1922049006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922049006 |
| Entity Type | Organization |
| Organization Name | CENTER FOR SKIN SURGERY PLLC |
| Other Organization Name | SKIN CANCER OUTPATIENT SURGICAL HOSPITAL |
| Practice Address |
8301 Old Court House Rd Vienna VA 22182 |
| Practice Telephone | 2034420300 |
| Practice Fax Number | 7034420302 |
| Mailing Telephone | 7034420300 |
| Mailing Fax Number | 7034420332 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | DR. STEVEN M ROTTER (OWNER) |
| Authorized Official Telephone | 7034420301 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR SKIN SURGERY PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RAILROAD MEDICARE | P00265368 | 01 |
| Other Name | Type Code |
|---|---|
| Skin Cancer Outpatient Surgical Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831132463 | Center for Skin Surgery Pllc | Dermatology | 8301 Old Court House Rd, Vienna, VA 22182 | 2006-06-13 |
| Street Address |
8301 OLD COURT HOUSE RD |
| City | VIENNA |
| State | VA |
| Zip Code | 22182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780629584 | Center for Medical Dermatology | Dermatology | 8301 Old Court House Rd, Vienna, VA 22182 | 2006-06-17 |
| 1831132463 | Center for Skin Surgery Pllc | Dermatology | 8301 Old Court House Rd, Vienna, VA 22182 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| Find all providers in zip 22182 | ||||
| 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 |
|---|---|---|---|---|
| 1932426418 | Patricia Lucey | Dermatology | 8100 Boone Blvd, Suite 300, Vienna, VA 22182-4621 | 2010-04-23 |
| 1922005537 | Linda Park Nims | Dermatology | 243 Church St Nw, Suite 200 C, Vienna, VA 22180-4434 | 2005-06-29 |
| 1780816421 | Gilead Segev | Dermatology | 8230 Old Courthouse Rd, Suite 550, Vienna, VA 22182-3853 | 2009-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225343262 | Mary Francis Hunter | Dermatology | 100 2nd St Nw, Charlottesville, VA 22902-5193 | 2010-08-14 |
| 1265635114 | Bridget M Bryer | Dermatology | 215 Wayles Ln Ste 150, Charlottesville, VA 22911-4631 | 2007-06-07 |
| 1053407452 | Theresa Conologue | Dermatology | 1101 Sam Perry Blvd Ste 121, Fredericksburg, VA 22401-4465 | 2006-10-04 |
| 1083708655 | Hoang Nguyen Pham | Dermatology | 4326 Evergreen Lane, Suite A, Annandale, VA 22003 | 2006-10-03 |
| 1407867500 | Chauncey A. Mchargue | Dermatology | 1100 Sunset Ln, Suite 1212, Culpeper, VA 22701-3307 | 2006-08-11 |
| 1952387060 | Martin S Horn | Dermatology | 10721 Main Street, Suite 3100, Fairfax, VA 22030-6906 | 2005-12-20 |
| 1023550654 | James River Dermatology Pllc | Dermatology | 6372 Mechanicsville Tpke Ste 103, Mechanicsville, VA 23111 | 2016-11-14 |
| 1417400763 | Monica Ka Yi Li | Dermatology | 125 Market St, Virginia Beach, VA 23462-6794 | 2016-08-03 |
| 1588949234 | Valley Skin Specialists | Dermatology | 3706 S Main St, Suite B, Blacksburg, VA 24060-7006 | 2011-10-13 |
| 1558653725 | John Eric Jackson | Dermatology | 1985 Jefferson Davis Hwy, Fredericksburg, VA 22401-6233 | 2011-05-06 |
| 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.