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PIKEVILLE DERMATOLOGY & COSMETIC CENTER, PSC
NPI 1235343419
Dermatology - Procedural Dermatology in Pikeville, KY

Active since May 09, 2007CLIA 18D1062949 · Microscopy
108 N AUXIER AVE, PIKEVILLE, KY 41501(606) 432-9106(606) 432-0967 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pikeville Dermatology & Cosmetic Center, Psc NPPES

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

PIKEVILLE DERMATOLOGY & COSMETIC CENTER, PSC (NPI 1235343419) is a healthcare organization registered as a procedural dermatology in Pikeville, Kentucky and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through January 1, 2027 and lists Timothy R Lavender, Owner & Physician, as its authorized official.

NPPES Registry Identity

NPI1235343419
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NamePIKEVILLE DERMATOLOGY & COSMETIC CENTER, PSC
Location Address108 N AUXIER AVEPikeville, KY 41501-9045
Mailing Address108 N Auxier AvePikeville, KY 41501-9045 · (606) 432-9106 · Fax (606) 432-0967
Phone(606) 432-9106
Fax(606) 432-0967
Organization SubpartNo
Authorized OfficialTimothy R LavenderOwner & Physician · (606) 432-9106
Enumeration DateMay 9, 2007
Last NPPES UpdateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1235343419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in KY · 02627
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
108 N AUXIER AVE, Pikeville, KY 41501
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Other Identifiers 3

Medicaid5900011000WV
Medicaid64005812KY
Medicaid010250030VA

Group Practice 1

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

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 for Provider-Performed Microscopy Procedures (PPMP) 18D1062949

Pikeville Dermatology & Cosmetic Center, Psc · Pikeville, KY
Active · expires Jan 1, 2027
CLIA Number18D1062949
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2025
Certificate Expiration DateJanuary 1, 2027
Laboratory DirectorTimothy R. Lavender, Do
Laboratory Phone(606) 432-9106
Laboratory LocationPikeville Dermatology & Cosmetic Center, Psc108 North Auxier Avenue, Pikeville, KY 41501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

DR. TIMOTHY R LAVENDER D.O.
Dermatology (Procedural Dermatology)
108 N AUXIER AVE
PIKEVILLE, KY 41501
Pike County (606) 432-9106
EASTERN KY BONE & JOINT SURGERY, PSC
Specialist
108 N AUXIER AVE
PIKEVILLE, KY 41501
Pike County (606) 432-4111
EASTERN KY. BONE & JOINT SURGERY,PSC
Physician Assistant (Surgical)
108 N AUXIER AVE
PIKEVILLE, KY 41501
Pike County (606) 432-4111

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 Pikeville Dermatology & Cosmetic Center, Psc's NPI number?

The NPI number for Pikeville Dermatology & Cosmetic Center, Psc is 1235343419. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Pikeville Dermatology & Cosmetic Center, Psc located?

Pikeville Dermatology & Cosmetic Center, Psc is located at 108 N Auxier Ave, Pikeville, KY 41501. The listed phone number is (606) 432-9106.

What is Pikeville Dermatology & Cosmetic Center, Psc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Does Pikeville Dermatology & Cosmetic Center, Psc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D1062949) is associated with this NPI, valid through January 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pikeville Dermatology & Cosmetic Center, Psc was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.