WEST COLLEGE DERMATOLOGY & AESTHETICS, PA NPI 1003003310

Dermatology in Lenexa, KS

Organization Dermatology

About WEST COLLEGE DERMATOLOGY & AESTHETICS, PA

West College Dermatology & Aesthetics, Pa is a provider established in Lenexa, Kansas specializing in dermatology. The NPI number of West College Dermatology & Aesthetics, Pa is 1003003310 and was assigned on October 2007. The practitioner's primary taxonomy code is 207N00000X with license number 04-25210 (KS). The provider is registered as an organization and their NPI record was last updated 6 years ago. West College Dermatology & Aesthetics, Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Michael Lee Haag Md (Owner)

A dermatologist like West College Dermatology & Aesthetics, Pa is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

NPI

1003003310

Provider NameWEST COLLEGE DERMATOLOGY & AESTHETICS, PA
Provider Location Address11041 HAUSER ST LENEXA, KS 66210
Provider Mailing Address11041 HAUSER ST LENEXA, KS 66210
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-01-2007
Last Update Date06-17-2014

Primary Taxonomy

Taxonomy Code207N00000X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
License No.04-25210
License StateKS
Taxonomy DescriptionA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Business Address

WEST COLLEGE DERMATOLOGY & AESTHETICS, PA
11041 HAUSER ST
LENEXA, KS
ZIP 66210
Phone: (913) 888-3376
Fax: (913) 888-3386

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Mailing Address

WEST COLLEGE DERMATOLOGY & AESTHETICS, PA
11041 HAUSER ST
LENEXA, KS
ZIP 66210
Phone: (913) 888-3376
Fax: (913) 888-3386

Authorized Official

Authorized Official Name MICHAEL LEE HAAG MD
Authorized Official TitleOWNER
Authorized Official Phone(913) 888-3376

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
F85815MEDICARE UPIN (02)KS
Q960000MEDICARE PIN (08)KS

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649262692DR. MICHAEL LEE HAAG MD
Individual
Dermatology11041 HAUSER ST
LENEXA, KS 66210
(913) 888-3376

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.