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FRONTIER SKIN AND CANCER
NPI 1104562404
Dermatology - MOHS-Micrographic Surgery in Lake Havasu City, AZ

Active since May 09, 2022CLIA 03D2270002 · Certificate of Compliance
1951 MESQUITE AVE STE F, LAKE HAVASU CITY, AZ 86403(725) 867-7126 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2023, Dec 19, 2022, Oct 25, 2022 and 3 more (6 updates tracked since 2022).

About Frontier Skin And Cancer NPPES

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

FRONTIER SKIN AND CANCER (NPI 1104562404) is a healthcare organization registered as a mohs-micrographic surgery in Lake Havasu City, Arizona and active in the NPI registry since May 2022. The organization holds a CLIA Certificate of Compliance certificate valid through January 9, 2027, maintains a secondary practice location in Parker, and lists Clinton Martin, Member, as its authorized official.

NPPES Registry Identity

NPI1104562404
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameW MILYANI MD PLLC
Location Address1951 MESQUITE AVE STE FLake Havasu City, AZ 86403-5746
Mailing Address9101 W Sahara Ave # 105-1Las Vegas, NV 89117-5772
Phone(725) 867-7126
Organization SubpartNo
Authorized OfficialClinton MartinMember · (928) 963-9333
Enumeration DateMay 9, 2022
Last NPPES UpdateJanuary 9, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1104562404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
1951 MESQUITE AVE STE F, Lake Havasu City, AZ 86403
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Other Names 1

Doing Business AsFrontier Skin And Cancer

Secondary Practice Location 1

Location 11200 W Mohave RdParker, AZ 85344-6349 · Phone (928) 963-9333

Other Identifiers 4

Other1396847182Npi
Other1497089874Npi
Other1538896238UT · Npi
Other1013228394Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 03D2270002

Frontier Skin And Cancer · Lake Havasu City, AZ
Active · expires Jan 9, 2027
CLIA Number03D2270002
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorRobert Leposavic
Laboratory Phone(702) 250-1620
Laboratory LocationFrontier Skin And Cancer1951 Mesquite Ave Ste F, Lake Havasu City, AZ 86403
CLIA data matches this NPI record on: Address Name
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

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

MR. CLINTON RICHARD MARTIN P.A.
Physician Assistant
1951 MESQUITE AVE STE F
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 963-9333

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 W Milyani MD PLLC's NPI number?

The NPI number for W Milyani MD PLLC is 1104562404. It was assigned to this organization in the NPPES registry on May 9, 2022. The provider is doing business as Frontier Skin And Cancer.

Where is W Milyani MD PLLC located?

W Milyani MD PLLC is located at 1951 Mesquite Ave Ste F, Lake Havasu City, AZ 86403. The listed phone number is (725) 867-7126.

What is W Milyani MD PLLC's specialty?

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

Does W Milyani MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D2270002) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does W Milyani MD PLLC accept?

Health plans from Ambetter from Arizona Complete Health list W Milyani MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for W Milyani MD PLLC was last updated on January 9, 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.