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PROFFER SURGICAL ASSOCIATES, LLP
NPI 1164441333
Dermatology - MOHS-Micrographic Surgery in Amarillo, TX

Active since July 19, 2006CLIA Certified · 2 labs
1611 WALLACE BLVD, AMARILLO, TX 79106(806) 354-4900(806) 352-4987 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Proffer Surgical Associates, Llp NPPES

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

PROFFER SURGICAL ASSOCIATES, LLP (NPI 1164441333) is a healthcare organization registered as a mohs-micrographic surgery in Amarillo, Texas and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Liana Proffer, Physician, as its authorized official.

NPPES Registry Identity

NPI1164441333
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NamePROFFER SURGICAL ASSOCIATES, LLP
Location Address1611 WALLACE BLVDAmarillo, TX 79106-1799
Mailing Address1611 Wallace BlvdAmarillo, TX 79106-1799 · (806) 354-4900 · Fax (806) 352-4987
Phone(806) 354-4900
Fax(806) 352-4987
Organization SubpartNo
Authorized OfficialLiana ProfferPhysician · (806) 354-4900
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 23, 2013
✔ NPI 1164441333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in TX · K6910
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 ListedOphthalmologyTaxonomy 207W00000X · License K3932 (TX)
Also ListedPlastic SurgeryTaxonomy 208200000X · License M0532 (TX)
1611 WALLACE BLVD, Amarillo, TX 79106
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Other Identifiers 3

Other0021NJTX · Blue Cross Blue Shield
Medicare PIN00W663TX
Medicaid187148501TX

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

CLIA Laboratory Certificates CMS CLIA 2

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 45D1062151

Proffer Surgical Associates LLP · Amarillo, TX
Active · expires Feb 19, 2027
CLIA Number45D1062151
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorLiana H. Proffer
Laboratory Phone(806) 354-4900
Laboratory LocationProffer Surgical Associates LLP1611 Wallace, Amarillo, TX 79106
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.

Certificate of Waiver 45D2167048

Proffer Surgical Center · Amarillo, TX
Active · expires May 30, 2027
CLIA Number45D2167048
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorPaul Proffer
Laboratory Phone(806) 354-4900
Laboratory LocationProffer Surgical Center1611 Wallace Blvd St 100, Amarillo, TX 79106
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

SUMMER CLARK M.D.
Dermatology (MOHS-Micrographic Surgery)
1611 WALLACE BLVD
AMARILLO, TX 79106
Potter County (063) 544-9008
PROFFER SURGICAL CENTER, PLLC
Clinic/Center (Ambulatory Surgical)
1611 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 354-4900
MRS. CHELSEY BARRETT FNP
Family Medicine
1611 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 354-4900
PROZ ANESTHESIA, PLLC
Anesthesiology
1611 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 354-4900
PATRICK PROFFER, M.D.,P.A.
Plastic Surgery
1611 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 352-1185
LIANA H PROFFER MD
Dermatology (MOHS-Micrographic Surgery)
1611 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 354-4900
DR. PATRICK JONATHAN PROFFER M.D.
Surgery (Plastic and Reconstructive Surgery)
1611 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 352-1185
PAUL L PROFFER M.D.
Ophthalmology
1611 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 354-4900

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 Proffer Surgical Associates, LLP's NPI number?

The NPI number for Proffer Surgical Associates, LLP is 1164441333. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Proffer Surgical Associates, LLP located?

Proffer Surgical Associates, LLP is located at 1611 Wallace Blvd, Amarillo, TX 79106. The listed phone number is (806) 354-4900.

What is Proffer Surgical Associates, LLP's specialty?

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

Does Proffer Surgical Associates, LLP hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Proffer Surgical Associates, LLP was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.