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SKINMD
NPI 1629497714
Dermatology - MOHS-Micrographic Surgery in Lexington, KY

Active since April 16, 2014
989 GOVERNORS LN, SUITE 220, LEXINGTON, KY 40513(859) 296-7546(513) 672-3323 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Skinmd NPPES

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

SKINMD (NPI 1629497714) is a healthcare organization registered as a mohs-micrographic surgery in Lexington, Kentucky and active in the NPI registry since April 2014. The organization lists Samuel Pruden, President, as its authorized official.

NPPES Registry Identity

NPI1629497714
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSKINMD
Location Address989 GOVERNORS LN, SUITE 220Lexington, KY 40513-1173
Mailing Address200 Northland Blvd, 1st FloorCincinnati, OH 45246-3604 · (513) 672-4111 · Fax (513) 672-4468
Phone(859) 296-7546
Fax(513) 672-3323
Organization SubpartNo
Authorized OfficialSamuel PrudenPresident · (859) 276-7546
Enumeration DateApril 16, 2014
Last NPPES UpdateJuly 16, 2014
✔ NPI 1629497714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatologyTaxonomy 207N00000X
989 GOVERNORS LN, Lexington, KY 40513
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Other Identifiers 1

Medicare PINK133600KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

PAUL TIMOTHY BERTRAM O.D.
Optometrist
989 GOVERNORS LN
LEXINGTON, KY 40513
Fayette County (859) 554-8265
VAXCARE GEORGIA LLC
Family Medicine
989 GOVERNORS LN, SUITE 160
LEXINGTON, KY 40513
Fayette County (859) 514-5547
DR. CHRISTIAN T ROSEVEAR DC
Chiropractor
989 GOVERNORS LN, SUITE #280
LEXINGTON, KY 40513
Fayette County (859) 219-1011
DR. GRETCHEN EILEEN KINCHEN DMD
Dentist (General Practice)
989 GOVERNORS LN
LEXINGTON, KY 40513
Fayette County (859) 296-0296
COMMONWEALTH MEDICAL CARE, LLC
Family Medicine
989 GOVERNORS LN, SUITE 220
LEXINGTON, KY 40513
Fayette County (859) 338-3958
CHIRO ONE WELLNESS CENTER OF BEAUMONT PLLC
Chiropractor
989 GOVERNORS LN, SUITE #280
LEXINGTON, KY 40513
Fayette County (606) 831-4432
BEAUMONT INTEGRATED MEDICINE PSC
Family Medicine (Adult Medicine)
989 GOVERNORS LN
LEXINGTON, KY 40513
Fayette County (859) 559-4272
CHRISTOPHER STARK MD PLLC
Specialist
989 GOVERNORS LN, STE 180
LEXINGTON, KY 40513
Fayette County (859) 338-3958

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 Skinmd's NPI number?

The NPI number for Skinmd is 1629497714. It was assigned to this organization in the NPPES registry on April 16, 2014.

Where is Skinmd located?

Skinmd is located at 989 Governors Ln Suite 220, Lexington, KY 40513. The listed phone number is (859) 296-7546.

What is Skinmd'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 Skinmd was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.