DERMATOLOGY AND SKIN CANCER SPECIALISTS, PSC
NPI 1932132768
Dermatology - MOHS-Micrographic Surgery in Lexington, KY

Active since July 07, 2006CLIA 18D2005771 · Certificate of Compliance
3213 SUMMIT SQUARE PL STE 200, LEXINGTON, KY 40509(859) 264-0557 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dermatology And Skin Cancer Specialists, Psc NPPES

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

DERMATOLOGY AND SKIN CANCER SPECIALISTS, PSC (NPI 1932132768) is a healthcare organization registered as a mohs-micrographic surgery in Lexington, Kentucky and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 19, 2026 and lists Johnathon C. Edge, Partner, as its authorized official.

NPPES Registry Identity

NPI1932132768
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDERMATOLOGY AND SKIN CANCER SPECIALISTS, PSC
Location Address3213 SUMMIT SQUARE PL STE 200Lexington, KY 40509-2652
Mailing Address2200 E Parrish Ave, Bldg E Suite 205Owensboro, KY 42303-1449 · (270) 852-1645
Organization SubpartNo
Authorized OfficialJohnathon C. EdgePartner · (859) 264-0557
Enumeration DateJuly 7, 2006
Last NPPES UpdateJune 3, 2024
NPPES CertifiedJune 3, 2024
NPI 1932132768 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.

3213 SUMMIT SQUARE PL STE 200, Lexington, KY 40509

Other Identifiers 1

Other000000489532KY · Anthem

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 2

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 18D2005771

Dermatology & Skin Cancer Specialists, Psc · Lexington, KY
Active · expires Oct 19, 2026
CLIA Number18D2005771
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorDr. Johnathon C. Edge
Laboratory Phone(859) 264-0557
Laboratory LocationDermatology & Skin Cancer Specialists, Psc3213 Summit Square Suite 200, Lexington, KY 40509
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 18D1055070

Dermatology & Skin Cancer Specialists Psc · Owensboro, KY
Active · expires Oct 26, 2026
CLIA Number18D1055070
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorDr. Johnathon C. Edge
Laboratory Phone(270) 663-1064
Laboratory LocationDermatology & Skin Cancer Specialists Psc1102 Triplett St Suite 1001, Owensboro, KY 42303
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932132768, enumerated as an "organization" on July 07, 2006.

The provider is located at 3213 SUMMIT SQUARE PL STE 200 LEXINGTON, KY 40509 and the phone number is (859) 264-0557.

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

The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.