SEAPORT DERMATOLOGY
NPI 1376575324
Dermatology - MOHS-Micrographic Surgery in Mystic, CT

Q: What is John R. West MD Inc's NPI number?

The NPI number for John R. West MD Inc is 1376575324. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Seaport Dermatology.

Q: What is John R. West MD Inc's specialty?

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

Active since July 07, 2006CLIA 07D1057164 · Certificate of Compliance

34 WATER ST, SUITE 2, MYSTIC, CT 06355(860) 572-9994(860) 572-9930 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Seaport Dermatology NPPES

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

SEAPORT DERMATOLOGY (NPI 1376575324) is a healthcare organization registered as a mohs-micrographic surgery in Mystic, Connecticut and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 1, 2027 and lists John Robert West, President, as its authorized official.

NPPES Registry Identity

NPI1376575324

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameJOHN R. WEST MD INC

Location Address34 WATER ST, SUITE 2Mystic, CT 06355-2524

Mailing Address34 Water St # 2Mystic, CT 06355-2524 · (860) 572-9994 · Fax (860) 572-9930

Phone(860) 572-9994

Fax(860) 572-9930

Organization SubpartNo

Authorized OfficialJohn Robert WestPresident · (860) 572-9994

Enumeration DateJuly 7, 2006

Last NPPES UpdateFebruary 6, 2013

✔ NPI 1376575324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

34 WATER ST, Mystic, CT 06355

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Other Names 1

Doing Business AsSeaport Dermatology

Other Identifiers 3

Medicare UPINE56217CT

Medicare PIN070000518CT

Other010044204CT01CT · Blue Cross Blue Shield

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 of Compliance 07D1057164

Seaport Dermatology Mohs Surgery Center · Mystic, CT

Active · expires Mar 1, 2027

CLIA Number07D1057164

Laboratory TypePhysician Office

Certificate Effective DateMarch 2, 2025

Certificate Expiration DateMarch 1, 2027

Laboratory DirectorJohn R. West MD

Laboratory Phone(860) 572-9994

Laboratory LocationSeaport Dermatology Mohs Surgery Center34 Water St Suite # 2, Mystic, CT 06355

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 John R. West MD Inc's NPI number?

The NPI number for John R. West MD Inc is 1376575324. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Seaport Dermatology.

Where is John R. West MD Inc located?

John R. West MD Inc is located at 34 Water St Suite 2, Mystic, CT 06355. The listed phone number is (860) 572-9994.

What is John R. West MD Inc's specialty?

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

Does John R. West MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 07D1057164) is associated with this NPI, valid through March 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 John R. West MD Inc was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.