SOUTH END DERMATOLOGY AND SKIN CARE, INC.
NPI 1376721167
Dermatology - Procedural Dermatology in Boston, MA
NPI Status: Active since February 05, 2008
Contact Information
321 COLUMBUS AVENUE
SUITE 2R
BOSTON, MA
ZIP 02116
Phone: (857) 362-7330
Fax: (857) 362-7332
- Organization
- Dermatology
- Procedural Dermatology
About SOUTH END DERMATOLOGY AND SKIN CARE, INC.
This page provides the complete NPI Profile along with additional information for South End Dermatology And Skin Care, Inc., a provider established in Boston, Massachusetts operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1376721167 assigned on February 2008. The practitioner's primary taxonomy code is 207NS0135X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as South End Dermatology And Skin Care, Inc.. The authorized official of this NPI record is Dr. Carl F. Schanbacher M.d. (President)
- NPI
- 1376721167
- Provider Legal Name
- SOUTH END SKIN CARE, INC.
- Other Organization Name
- SOUTH END DERMATOLOGY AND SKIN CARE, INC.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 321 COLUMBUS AVENUE SUITE 2R BOSTON, MA 02116
- Location Phone
- (857) 362-7330
- Location Fax
- (857) 362-7332
- Mailing Address
- 321 COLUMBUS AVENUE SUITE 2R BOSTON, MA 02116
- Mailing Phone
- (857) 362-7330
- Mailing Fax
- (857) 362-7332
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-05-2008
- Last Update Date
- 08-05-2008
- 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 Procedural Dermatology
- Taxonomy Code
- 207NS0135X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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).
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 193400000X MULTIPLE 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:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0005608 | OTHER (01) | MA | MEDICARE PTAN |
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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 | 7 | 6 | 7 | 2 | 1 | 1 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 14 | 2 | 2 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 1 + 4 + 2 + 2 + 1 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1376721167 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376721167, enumerated as an "organization" on February 05, 2008.
The provider is located at 321 COLUMBUS AVENUE SUITE 2R BOSTON, MA 02116 and the phone number is (857) 362-7330.
Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
