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

Q: 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.

Q: 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.

Active since July 19, 2006

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: October 18, 2026.

On this page

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 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

Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Proffer Surgical Associates, Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Proffer Surgical Associates, LLP, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.