THE WOODLANDS SKIN SURGERY CENTER PA
NPI 1396074134
Dermatology - MOHS-Micrographic Surgery in Houston, TX
NPI Status: Active since December 07, 2009
Contact Information
13325 HARGRAVE RD STE 130&140
HOUSTON, TX
ZIP 77070
Phone: (281) 364-8844
Fax: (281) 364-8833
- Organization
- Dermatology
- MOHS-Micrographic Surgery
- CLIA Number: 45D2058539
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-05-2027
About THE WOODLANDS SKIN SURGERY CENTER PA
This page provides the complete NPI Profile along with additional information for The Woodlands Skin Surgery Center Pa, a provider established in Houston, Texas operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1396074134 assigned on December 2009. The practitioner's primary taxonomy code is 207ND0101X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The Woodlands Skin Surgery Center Pa 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 Brent Shook Md (Owner/president)
- NPI
- 1396074134
- Provider Name
- THE WOODLANDS SKIN SURGERY CENTER PA
- Entity Type
- Organization
- Location Address
- 13325 HARGRAVE RD STE 130&140 HOUSTON, TX 77070
- Location Phone
- (281) 364-8844
- Location Fax
- (281) 364-8833
- Mailing Address
- 3786 FM 1488 RD STE 200 CONROE, TX 77384
- Mailing Phone
- (281) 364-8844
- Mailing Fax
- (281) 364-8833
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-07-2009
- Last Update Date
- 10-27-2023
- 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
- License State
- TX
- 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.
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
- 45D2058539
- Facility Type
- Physician Office
- Certificate Effective Date
- April 06, 2025
- Certificate Expiration Date
- April 05, 2027
- Laboratory Director
- MANDY HARTING
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to The Woodlands Skin Surgery Center Pa 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 | 9 | 6 | 0 | 7 | 4 | 1 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 0 | 7 | 8 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 0 + 7 + 8 + 1 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1396074134 is valid because the calculated check digit 4 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.
SUSANNAH S. ANDREWS PA-C
Physician Assistant
13325 HARGRAVE RD STE 130&140
HOUSTON, TX
ZIP 77070
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396074134, enumerated as an "organization" on December 07, 2009.
The provider is located at 13325 HARGRAVE RD STE 130&140 HOUSTON, TX 77070 and the phone number is (281) 364-8844.
Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.
