AFFILIATED DERMATOLOGISTS, SC
NPI 1316656721
Dermatology - MOHS-Micrographic Surgery in Oak Creek, WI
NPI Status: Active since November 15, 2022
Contact Information
10050 S 27TH ST STE 200
OAK CREEK, WI
ZIP 53154
Phone: (262) 754-4488
Fax: (262) 754-4940
- Organization
- Dermatology
- MOHS-Micrographic Surgery
- CLIA Number: 52D2274544
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-19-2025
About AFFILIATED DERMATOLOGISTS, SC
This page provides the complete NPI Profile along with additional information for Affiliated Dermatologists, Sc, a provider established in Oak Creek, Wisconsin operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1316656721 assigned on November 2022. The practitioner's primary taxonomy code is 207ND0101X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Affiliated Dermatologists, Sc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Veronica Sanchez (Manager)
- NPI
- 1316656721
- Provider Name
- AFFILIATED DERMATOLOGISTS, SC
- Entity Type
- Organization
- Location Address
- 10050 S 27TH ST STE 200 OAK CREEK, WI 53154
- Location Phone
- (262) 754-4488
- Location Fax
- (262) 754-4940
- Mailing Address
- 13800 W NORTH AVE STE 100 BROOKFIELD, WI 53005
- Mailing Phone
- (262) 754-4488
- Mailing Fax
- (262) 754-4940
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-15-2022
- Last Update Date
- 11-17-2022
- Code Navigator
Location Map
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
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2274544
- Facility Type
- Physician Office
- Certificate Effective Date
- December 20, 2023
- Certificate Expiration Date
- December 19, 2025
- Laboratory Director
- DR. KATHLEEN S. STOKES
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Affiliated Dermatologists, Sc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 6 | 5 | 6 | 7 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 12 | 5 | 12 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 1 + 2 + 5 + 1 + 2 + 7 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1316656721 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
TYLER MARQUES BAUMAN M.D.
Dermatology
(MOHS-Micrographic Surgery)
10050 S 27TH ST STE 200
OAK CREEK, WI
ZIP 53154
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316656721, enumerated as an "organization" on November 15, 2022.
The provider is located at 10050 S 27TH ST STE 200 OAK CREEK, WI 53154 and the phone number is (262) 754-4488.
Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.
