ADVANCED SKIN AND MOHS SURGERY CENTER S.C.
NPI 1174984959
Dermatology - MOHS-Micrographic Surgery in Chicago, IL

NPI Status: Active since March 08, 2016

Contact Information

2845 N. SHERIDAN ROAD
STE 912
CHICAGO, IL
ZIP 60657
Phone: (773) 281-0046
Fax: (773) 281-0228

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  • Organization
  • Dermatology
  • MOHS-Micrographic Surgery
  • Accepts Insurance

About ADVANCED SKIN AND MOHS SURGERY CENTER S.C.

This page provides the complete NPI Profile along with additional information for Advanced Skin And Mohs Surgery Center S.c., a provider established in Chicago, Illinois operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1174984959 assigned on March 2016. The practitioner's primary taxonomy code is 207ND0101X with license number 036096380 (IL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Clarence William Brown Jr. M.d., J.d., F.a.a.d. (Director)

NPI
1174984959
Provider Name
ADVANCED SKIN AND MOHS SURGERY CENTER S.C.
Entity Type
Organization
Location Address
2845 N. SHERIDAN ROAD STE 912 CHICAGO, IL 60657
Location Phone
(773) 281-0046
Location Fax
(773) 281-0228
Mailing Address
2570 NILES RD SAINT JOSEPH, MI 49085
Mailing Phone
(269) 985-0021
Mailing Fax
(773) 281-0228
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2016
Last Update Date
12-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
Allopathic & Osteopathic Physicians
License No.
036096380
License State
IL
Taxonomy Description
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CLARENCE WILLIAM BROWN JR. M.D., J.D., F.A.A.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(773) 294-0107

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174984959, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 8 + 8 + 8 + 9 + 1 + 0 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1174984959.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Orthopaedic Surgery
2845 N. SHERIDAN ROAD, SUITE 6400
CHICAGO, IL 60657

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174984959, enumerated as an "organization" on March 08, 2016.

The provider is located at 2845 N. SHERIDAN ROAD STE 912 CHICAGO, IL 60657 and the phone number is (773) 281-0046.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.

The provider might be accepting Accepts: Blue Care Network of Michigan. Please consult your insurance carrier or call the provider to verify.