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SKIN SURGERY CENTER
NPI 1841371960
Dermatology - MOHS-Micrographic Surgery in Seattle, WA

Active since October 17, 2006CLIA 50D0940656 · Certificate of Compliance
1229 MADISON ST, SUITE 1480, SEATTLE, WA 98104(206) 346-6647(206) 346-6022 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Skin Surgery Center NPPES

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

SKIN SURGERY CENTER (NPI 1841371960) is a healthcare organization registered as a mohs-micrographic surgery in Seattle, Washington and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Peter B Odland, President, as its authorized official.

NPPES Registry Identity

NPI1841371960
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSKIN SURGERY CENTER, P.S.
Location Address1229 MADISON ST, SUITE 1480Seattle, WA 98104-3586
Mailing Address1229 Madison St, Suite 1480Seattle, WA 98104-3586 · (206) 346-6647 · Fax (206) 346-6022
Phone(206) 346-6647
Fax(206) 346-6022
Organization SubpartNo
Authorized OfficialPeter B OdlandPresident · (206) 346-6647
Enumeration DateOctober 17, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1841371960 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.

1229 MADISON ST, Seattle, WA 98104
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Other Names 1

Doing Business AsSkin Surgery Center

Other Identifiers 2

Medicare PINGAB37422WA
Medicare PINGAB17739WA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D0940656

Skin Surgery Center · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D0940656
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 1998
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAnnalisa Gorman
Laboratory Phone(217) 503-0983
Laboratory LocationSkin Surgery Center1229 Madison St Ste 1480, Seattle, WA 98104
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

DIANNE B THOMPSON M.D.
Dermatology
1229 MADISON ST, STE 1290
SEATTLE, WA 98104
King County (206) 315-4603
NORTHWEST SKIN SPECIALISTS PLLC
Dermatology
1229 MADISON ST, STE 1290
SEATTLE, WA 98104
King County (206) 315-4603
AMY D SARKIE PA-C
Dermatology
1229 MADISON ST, STE 1290
SEATTLE, WA 98104
King County (206) 315-4603
ROBIN E COLE MD
Obstetrics & Gynecology
1229 MADISON ST, STE 1500
SEATTLE, WA 98104
King County (206) 386-9500
SUSAN S BLOCK MD
Obstetrics & Gynecology
1229 MADISON ST, STE 1500
SEATTLE, WA 98104
King County (206) 386-9500
M. GRETCHEN TODD PA-C
Physician Assistant (Medical)
1229 MADISON ST, SUITE 1500
SEATTLE, WA 98104
King County (206) 386-9500
DAVID A BRUCK MD
Anesthesiology
1229 MADISON ST, SUITE 1440
SEATTLE, WA 98104
King County (206) 625-0578
JENNY HODGINS-HOWARTH ARNP
Nurse Practitioner
1229 MADISON ST, SUITE 1600
SEATTLE, WA 98104
King County (206) 860-4541

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 Center, P.S.'s NPI number?

The NPI number for Skin Surgery Center, P.S. is 1841371960. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Skin Surgery Center.

Where is Skin Surgery Center, P.S. located?

Skin Surgery Center, P.S. is located at 1229 Madison St Suite 1480, Seattle, WA 98104. The listed phone number is (206) 346-6647.

What is Skin Surgery Center, P.S.'s specialty?

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

Does Skin Surgery Center, P.S. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D0940656) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skin Surgery Center, P.S. was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.