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CAMDEN DERMATOLOGY & MOHS SURGERY LLC
NPI 1215440011
Dermatology - MOHS-Micrographic Surgery in Rockport, ME

Active since November 15, 2017CLIA 20D2250850 · Certificate of Compliance
195 UNION ST, ROCKPORT, ME 04856(415) 802-1310(207) 706-5030 Get Directions Write a Review

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

About Camden Dermatology & Mohs Surgery Llc NPPES

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

CAMDEN DERMATOLOGY & MOHS SURGERY LLC (NPI 1215440011) is a healthcare organization registered as a mohs-micrographic surgery in Rockport, Maine and active in the NPI registry since November 2017. The organization holds a CLIA Certificate of Compliance certificate valid through November 6, 2026, maintains a secondary practice location in Scarborough, and lists Kerry Allison Lavigne, President, as its authorized official.

NPPES Registry Identity

NPI1215440011
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameCAMDEN DERMATOLOGY & MOHS SURGERY LLC
Location Address195 UNION STRockport, ME 04856-6107
Mailing Address195 Union StRockport, ME 04856-6107 · (415) 802-1310 · Fax (877) 343-6641
Phone(415) 802-1310
Fax(207) 706-5030
Organization SubpartNo
Authorized OfficialKerry Allison LavignePresident · (415) 802-1310
Enumeration DateNovember 15, 2017
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1215440011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
195 UNION ST, Rockport, ME 04856
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Secondary Practice Location 1

Location 16 Science Park Rd Ste 4Scarborough, ME 04074-7199 · Phone (415) 802-1310 · Fax (877) 343-6641

Other Identifiers 1

Medicaid1215440011ME

Group Practice 2

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 20D2250850

Camden Dermatology & Mohs Surgery, LLC · Scarborough, ME
Active · expires Nov 6, 2026
CLIA Number20D2250850
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorKerry A. Lavigne
Laboratory Phone(207) 706-5030
Laboratory LocationCamden Dermatology & Mohs Surgery, LLC6 Science Park Rd, Scarborough, ME 04074
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 6

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

ALISON SCHEIB PA-C
Physician Assistant (Medical)
195 UNION ST
ROCKPORT, ME 04856
Knox County (207) 236-2169
DAVID SCHMIDT M.D.
Psychiatry & Neurology (Psychiatry)
195 UNION ST
ROCKPORT, ME 04856
Knox County (207) 706-6947
DR. MCKIM C PETERSON M. D.
Family Medicine
195 UNION ST, MIDCOAST MEDICINE, PA
ROCKPORT, ME 04856
Knox County (207) 236-2169
JENNY LEE BARRETT-HIBL FNP-BC
Nurse Practitioner (Family)
195 UNION ST
ROCKPORT, ME 04856
Knox County (207) 236-2169
DR. KERRY ALLISON LAVIGNE M.D.
Dermatology (MOHS-Micrographic Surgery)
195 UNION ST
ROCKPORT, ME 04856
Knox County (207) 706-5030
CHARLES SAMUEL COHEN PA-C
Physician Assistant
195 UNION ST
ROCKPORT, ME 04856
Knox County (207) 706-5030

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 Camden Dermatology & Mohs Surgery LLC's NPI number?

The NPI number for Camden Dermatology & Mohs Surgery LLC is 1215440011. It was assigned to this organization in the NPPES registry on November 15, 2017.

Where is Camden Dermatology & Mohs Surgery LLC located?

Camden Dermatology & Mohs Surgery LLC is located at 195 Union St, Rockport, ME 04856. The listed phone number is (415) 802-1310.

What is Camden Dermatology & Mohs Surgery LLC's specialty?

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

Does Camden Dermatology & Mohs Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 20D2250850) is associated with this NPI, valid through November 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Camden Dermatology & Mohs Surgery LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Camden Dermatology & Mohs Surgery LLC 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 Camden Dermatology & Mohs Surgery LLC was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.