PATHOLOGY SERVICES OF AMERICA DIVISION OF DERMATOLOGY ASSOCIATES OF BA
NPI 1831425420
Dermatology - MOHS-Micrographic Surgery in Panama City, FL

NPI Status: Active since November 02, 2009

Contact Information

2430 LISENBY AVE
PANAMA CITY, FL
ZIP 32405
Phone: (850) 215-0953
Fax: (850) 215-0952

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  • Organization
  • Dermatology
  • MOHS-Micrographic Surgery
  • CLIA Number: 10D0885189
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 10-31-2025

About PATHOLOGY SERVICES OF AMERICA DIVISION OF DERMATOLOGY ASSOCIATES OF BA

This page provides the complete NPI Profile along with additional information for Pathology Services Of America Division Of Dermatology Associates Of Ba, a provider established in Panama City, Florida operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1831425420 assigned on November 2009. The practitioner's primary taxonomy code is 207ND0101X with license number 800025570 (FL). The provider is registered as an organization and their NPI record was last updated 17 years ago. Pathology Services Of America Division Of Dermatology Associates Of Ba operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Pathology Services Of America Division Of Dermatology Associates Of Ba. The authorized official of this NPI record is Mr. Kenneth Warren Alexander Htl(ascp) (Laboratory Manager)

NPI
1831425420
Provider Legal Name
DERMATOLOGY ASSOCIATES OF BAY COUNTY
Other Organization Name
PATHOLOGY SERVICES OF AMERICA DIVISION OF DERMATOLOGY ASSOCIATES OF BA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2430 LISENBY AVE PANAMA CITY, FL 32405
Location Phone
(850) 215-0953
Location Fax
(850) 215-0952
Mailing Address
2430 LISENBY AVE PANAMA CITY, FL 32405
Mailing Phone
(850) 215-0953
Mailing Fax
(850) 215-0952
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-02-2009
Last Update Date
11-09-2009
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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 No.
800025570
License State
FL
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KENNETH WARREN ALEXANDER HTL(ASCP)

Authorized Official Title
LABORATORY MANAGER
Authorized Official Phone
(850) 215-0953

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
10D0885189
Facility Type
Independent
Certificate Effective Date
May 15, 2023
Certificate Expiration Date
October 31, 2025
Laboratory Director
CHRISTOPHER R. PRICE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Pathology Services Of America Division Of Dermatology Associates Of Ba 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 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 1831425420, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 3 → 6 4 → 8 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 6 + 1 + 8 + 2 + 1 + 0 + 4 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1831425420.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831425420, enumerated as an "organization" on November 02, 2009.

The provider is located at 2430 LISENBY AVE PANAMA CITY, FL 32405 and the phone number is (850) 215-0953.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.