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MARYLAND SKIN CANCER SPECIALISTS, PA
NPI 1083799688
Dermatology - MOHS-Micrographic Surgery in Frederick, MD

Active since October 25, 2006CLIA 21D1076040 · Certificate of Compliance
75 THOMAS JOHNSON DR STE H, FREDERICK, MD 21702(240) 453-0050(301) 668-9853 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2023, Jun 10, 2021, Apr 11, 2017 (3 updates tracked since 2017).

About Maryland Skin Cancer Specialists, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLAND SKIN CANCER SPECIALISTS, PA (NPI 1083799688) is a healthcare organization registered as a mohs-micrographic surgery in Frederick, Maryland and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 5, 2028 and lists David Mezebish, President, as its authorized official.

NPPES Registry Identity

NPI1083799688
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameMARYLAND SKIN CANCER SPECIALISTS, PA
Location Address75 THOMAS JOHNSON DR STE HFrederick, MD 21702-4895
Mailing Address75 Thomas Johnson Dr Ste HFrederick, MD 21702-4895 · (301) 668-9850 · Fax (301) 668-9853
Phone(240) 453-0050
Fax(301) 668-9853
Organization SubpartNo
Authorized OfficialDavid MezebishPresident · (240) 453-0050
Enumeration DateOctober 25, 2006
Last NPPES UpdateJanuary 25, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1083799688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
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.
75 THOMAS JOHNSON DR STE H, Frederick, MD 21702
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Other Identifiers 2

Other889AMAMD · Blue Cross
OtherJ819MD · Bluecross Choice

Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 21D1076040

Maryland Skin Cancer Specialists · Frederick, MD
Active · expires Mar 5, 2028
CLIA Number21D1076040
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorDr. David S. Mezebish
Laboratory Phone(301) 668-9850
Laboratory LocationMaryland Skin Cancer Specialists75 Thomas Johnson Drive Suite H, Frederick, MD 21702
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ERIN LOUISE MCCLURE P.A.-C
Physician Assistant
75 THOMAS JOHNSON DR STE H
FREDERICK, MD 21702
Frederick County (240) 453-0050
DR. DAVID S MEZEBISH M.D.
Dermatology (MOHS-Micrographic Surgery)
75 THOMAS JOHNSON DR STE H
FREDERICK, MD 21702
Frederick County (301) 668-9850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryland Skin Cancer Specialists, PA's NPI number?

The NPI number for Maryland Skin Cancer Specialists, PA is 1083799688. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Maryland Skin Cancer Specialists, PA located?

Maryland Skin Cancer Specialists, PA is located at 75 Thomas Johnson Dr Ste H, Frederick, MD 21702. The listed phone number is (240) 453-0050.

What is Maryland Skin Cancer Specialists, PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Maryland Skin Cancer Specialists, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D1076040) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maryland Skin Cancer Specialists, PA was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.