MACINNIS DERMATOLOGY


Address: 27950 Us Highway 27, Leesburg, FL 34748-9050
Phone: 3523505230

MACINNIS DERMATOLOGY (NPI# 1992035695) 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) 1992035695
Entity Type Organization
Organization Name MACINNIS DERMATOLOGY
Practice Address 27950 Us Highway 27
Leesburg
FL 34748-9050
Mailing Address Po Box 490558
Leesburg
FL 34749-0558
Practice Telephone 3523505230
Practice Fax Number 8665397193
Mailing Telephone 3523505230
Enumeration Date 2010-01-04
Last Update Date 2018-03-17
Authorized Official Name COLLEEN MACINNIS (OWNER)
Authorized Official Telephone 3523505230
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
ME100399 FL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
17521 Us Highway 27, Suite 21, Mt Dora, FL 327573275 3523505230 3523505230
1950 Laurel Manor Dr Ste 124, The Villages, FL 321625602 3523505230 8665397193
4120 Corley Island Rd, Suite 600, Leesburg, FL 347488292 3523505230

Office Location

Street Address 27950 US HIGHWAY 27
City LEESBURG
State FL
Zip Code 34748-9050

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NPI Name Taxonomy Address Enumeration
1710461595 Grace Fantl Physician Assistant 27950 Us Highway 27, Leesburg, FL 34748-9050 2018-09-18

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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

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.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831188630 Michel A Snyder Dermatology 608 S 9th St, Ste C, Leesburg, FL 34748-6342 2005-10-14
1356465769 Loudoun Medical Group PC Dermatology 19465 Deerfield Ave, Suite 401, Leesburg, VA 20176-1701 2007-03-19
1700828290 Colleen Macinnis Dermatology 4120 Corley Island Rd, Suite 600, Leesburg, FL 34748-8292 2006-06-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144827577 Onspot-fl LLC. Dermatology 16461 Domestic Ave, Fort Myers, FL 33912-6008 2020-10-08
1942855150 International Dermatology Research, Inc. Dermatology 8370 W Flagler St Ste 200, Miami, FL 33144-2038 2019-08-05
1154815546 Forefront Dermatology, S.c. Dermatology 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 2018-06-19
1437517802 Total Vein and Skin LLC Dermatology 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 2016-02-01
1861812851 Anand Haryani Dermatology 8745 N Us Highway 1, Sebastian, FL 32958-7524 2014-04-17
1164841797 Michael Montuno Dermatology 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 2014-04-10
1861813719 Hillcrest Dermatology and Plastic Surgery P.a. Dermatology 733 Highway 466, Lady Lake, FL 32159-6340 2013-12-19
1922355957 Florida Medical Specialists Dermatology 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 2012-08-09
1619232501 Alliant Dermatology Pa Dermatology 8620 E County Road 466, The Villages, FL 32162-3670 2012-07-07
1114218328 Leavitt Medical Assocaittes of Florida Inc Dermatology 1426 E Bloomindale Ave, Valrico, FL 33596 2011-04-21
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Competitor

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City LEESBURG
Zip Code 34748

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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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