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FACIAL PLASTIC SURGERY & DERMATOLOGY PLLC
NPI 1881030088
Dermatology - MOHS-Micrographic Surgery in Lexington, KY

Active since May 14, 2013
448 LEWIS HARGETT CIR, STE 240, LEXINGTON, KY 40503(859) 226-0206(859) 226-0207 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Facial Plastic Surgery & Dermatology Pllc NPPES

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

FACIAL PLASTIC SURGERY & DERMATOLOGY PLLC (NPI 1881030088) is a healthcare organization registered as a mohs-micrographic surgery in Lexington, Kentucky and active in the NPI registry since May 2013. The organization lists Samuel Jack Pruden, Owner, as its authorized official.

NPPES Registry Identity

NPI1881030088
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameFACIAL PLASTIC SURGERY & DERMATOLOGY PLLC
Location Address448 LEWIS HARGETT CIR, STE 240Lexington, KY 40503-3594
Mailing Address3070 Lakecrest Cir, Ste. 400-264Lexington, KY 40513-1937 · (859) 226-0206 · Fax (859) 226-0207
Phone(859) 226-0206
Fax(859) 226-0207
Organization SubpartNo
Authorized OfficialSamuel Jack PrudenOwner · (859) 226-0206
Enumeration DateMay 14, 2013
Last NPPES UpdateAugust 27, 2013
✔ NPI 1881030088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in KY · 34192
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 · License 34192 (KY)
Also ListedPlastic SurgeryTaxonomy 208200000X · License 34192 (KY)
448 LEWIS HARGETT CIR, Lexington, KY 40503
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Other Identifiers 3

Medicaid7100245900KY
Medicare PINK001521KY
Other000000823139KY · Anthem Bcbs

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

SHELLEY HELENA JACKSON M.S.
Speech-Language Pathologist
448 LEWIS HARGETT CIR
LEXINGTON, KY 40503
Fayette County (859) 313-5250
LESLIE ATWOOD
Speech-Language Pathologist
448 LEWIS HARGETT CIR, SUITE 100
LEXINGTON, KY 40503
Fayette County (859) 313-5250
MARLANA MURDOCK RIGGS OTR/L
Occupational Therapist
448 LEWIS HARGETT CIR
LEXINGTON, KY 40503
Fayette County (859) 313-5250
CENTER FOR COMPREHENSIVE SERVICES, INC
Rehabilitation Hospital
448 LEWIS HARGETT CIR, STE 100
LEXINGTON, KY 40503
Fayette County (618) 529-3060
JORDAN GUEST LCSW
Social Worker (Clinical)
448 LEWIS HARGETT CIR
LEXINGTON, KY 40503
Fayette County (859) 338-0466
JOHN CASEY CLARK
Occupational Therapist
448 LEWIS HARGETT CIR, SUITE 100
LEXINGTON, KY 40503
Fayette County (859) 313-5250
KELLY J WILLIAMS OTR/L
Occupational Therapist
448 LEWIS HARGETT CIR, SUITE 100
LEXINGTON, KY 40503
Fayette County (859) 313-5250
MELISSA HARDIN COTA
Occupational Therapy Assistant
448 LEWIS HARGETT CIR
LEXINGTON, KY 40503
Fayette County (859) 313-5250

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 Facial Plastic Surgery & Dermatology PLLC's NPI number?

The NPI number for Facial Plastic Surgery & Dermatology PLLC is 1881030088. It was assigned to this organization in the NPPES registry on May 14, 2013.

Where is Facial Plastic Surgery & Dermatology PLLC located?

Facial Plastic Surgery & Dermatology PLLC is located at 448 Lewis Hargett Cir Ste 240, Lexington, KY 40503. The listed phone number is (859) 226-0206.

What is Facial Plastic Surgery & Dermatology PLLC'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 Facial Plastic Surgery & Dermatology PLLC was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.