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

SKIN SURGERY CLINIC
NPI 1710443619
Dermatology - MOHS-Micrographic Surgery in Bellevue, WA

Active since February 15, 2019
1414 116TH AVE NE STE D, BELLEVUE, WA 98004(206) 486-5189 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Skin Surgery Clinic NPPES

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

SKIN SURGERY CLINIC (NPI 1710443619) is a healthcare organization registered as a mohs-micrographic surgery in Bellevue, Washington and active in the NPI registry since February 2019. The organization lists Linda Chang, Representative, as its authorized official.

NPPES Registry Identity

NPI1710443619
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSKIN SURGERY CLINIC
Location Address1414 116TH AVE NE STE DBellevue, WA 98004-3801
Mailing Address1414 116th Ave Ne Ste DBellevue, WA 98004-3801
Phone(206) 486-5189
Organization SubpartNo
Authorized OfficialLinda ChangRepresentative · (206) 486-5189
Enumeration DateFebruary 15, 2019
✔ NPI 1710443619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1414 116TH AVE NE STE D, Bellevue, WA 98004
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. SEONGMOK YU E.A.M.P.
Acupuncturist
1414 116TH AVE NE STE D
BELLEVUE, WA 98004
King County (425) 677-5725

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 Skin Surgery Clinic's NPI number?

The NPI number for Skin Surgery Clinic is 1710443619. It was assigned to this organization in the NPPES registry on February 15, 2019.

Where is Skin Surgery Clinic located?

Skin Surgery Clinic is located at 1414 116th Ave NE Ste D, Bellevue, WA 98004. The listed phone number is (206) 486-5189.

What is Skin Surgery Clinic'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 Skin Surgery Clinic was last updated on February 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.