1. Home
  2. Directory
  3. Washington
  4. Edmonds
  5. Dermatology
  6. NPI Profile

DR. JOHN LAWRENCE HEADLEY M.D.
NPI 1528093861
Dermatology - MOHS-Micrographic Surgery in Edmonds, WA

Active since July 12, 2006
21600 HIGHWAY 99, #280, EDMONDS, WA 98026(425) 774-2616(425) 774-2660 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Lawrence Headley M.d. NPPES

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

DR. JOHN LAWRENCE HEADLEY M.D. (NPI 1528093861) is an individual mohs-micrographic surgery provider in Edmonds, Washington, licensed in Washington (MD00018010) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1528093861
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameDR. JOHN LAWRENCE HEADLEYCredential: M.D.
Location Address21600 HIGHWAY 99, #280Edmonds, WA 98026-8012
Mailing Address21600 Highway 99, #280Edmonds, WA 98026-8012 · (425) 774-2616 · Fax (425) 774-2660
Phone(425) 774-2616
Fax(425) 774-2660
Sole ProprietorYes
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1528093861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in WA · MD00018010
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.
21600 HIGHWAY 99, Edmonds, WA 98026
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINA09241WA
Medicaid1030683WA

Other Providers at the Same Location NPPES 18

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

ANA BACIC
Nurse Practitioner
21600 HIGHWAY 99, SUITE 260
EDMONDS, WA 98026
Snohomish County (425) 774-2650
LAURIE JACOBSON M.D.
Dermatology (MOHS-Micrographic Surgery)
21600 HIGHWAY 99, STE 280
EDMONDS, WA 98026
Snohomish County (425) 774-2616
DR. GABRIEL BERSON MD
Pediatrics
21600 HIGHWAY 99
EDMONDS, WA 98026
Snohomish County (425) 673-3456
DR. RUPIN RAJ THAKKAR MD
Pediatrics (Adolescent Medicine)
21600 HIGHWAY 99, SUITE 290
EDMONDS, WA 98026
Snohomish County (425) 778-0191
ROBERT G CHAFFEE MD
Internal Medicine (Gastroenterology)
21600 HIGHWAY 99, SUITE 260
EDMONDS, WA 98026
Snohomish County (425) 774-2650
MICHELLE J. GOTTSCHLICH M.D.
Internal Medicine (Gastroenterology)
21600 HIGHWAY 99, SUITE 260
EDMONDS, WA 98026
Snohomish County (425) 774-2650
CARA K DEBLEY MD
Internal Medicine (Gastroenterology)
21600 HIGHWAY 99, SUITE 260
EDMONDS, WA 98026
Snohomish County (425) 774-2650
NW DERMATOLOGY & SKIN CANCER CLINIC
Dermatology
21600 HIGHWAY 99, SUITE 280
EDMONDS, WA 98026
Snohomish County (425) 774-2616

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 Headley's NPI number?

The NPI number for John Headley is 1528093861. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is John Headley located?

John Headley practices at 21600 Highway 99 #280, Edmonds, WA 98026. The listed phone number is (425) 774-2616.

What is John Headley's specialty?

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

When was this NPI record last updated?

The NPPES record for John Headley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.