GREAT LAKES DERMATOLOGY
NPI 1558576322
Dermatology - Procedural Dermatology in Kenosha, WI
NPI Status: Active since May 14, 2007
Contact Information
3601 30TH AVE
SUITE 210
KENOSHA, WI
ZIP 53144
Phone: (262) 658-2594
- Organization
- Dermatology
- Procedural Dermatology
About GREAT LAKES DERMATOLOGY
This page provides the complete NPI Profile along with additional information for Great Lakes Dermatology, a provider established in Kenosha, Wisconsin operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1558576322 assigned on May 2007. The practitioner's primary taxonomy code is 207NS0135X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Cathy Dean (Administrator)
- NPI
- 1558576322
- Provider Name
- GREAT LAKES DERMATOLOGY
- Entity Type
- Organization
- Location Address
- 3601 30TH AVE SUITE 210 KENOSHA, WI 53144
- Location Phone
- (262) 658-2594
- Mailing Address
- 3610 30TH AVENUE SUITE 210 KENOSHA, WI 53144
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-14-2007
- Last Update Date
- 08-22-2020
- 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
- License State
- WI
- 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).
Group Taxonomy 193400000X 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1558576322, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
KENOSHA, WI 53144
KENOSHA, WI 53144
KENOSHA, WI 53144
KENOSHA, WI 53144
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558576322, enumerated as an "organization" on May 14, 2007.
The provider is located at 3601 30TH AVE SUITE 210 KENOSHA, WI 53144 and the phone number is (262) 658-2594.
Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.
