Advanced Dermatologic Surgery

LBN: Advanced Dermatologic Surgery, P.A.
Advanced Dermatologic Surgery is an health care organization with primary practice located at 6901 W 121St St , Overland Park KS 66209-2007. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty. Advanced Dermatologic Surgery, P.A. can be contacted via phone (913) 661-1755, or through Albers, Greg via phone (913) 661-1755.

Contact Information

Primary practice address
6901 W 121St St Overland Park KS 66209-2007
Phone: (913) 661-1755
Fax: (913) 661-9260
Website:
Map and Directions
Authorized official contact:
Name: Albers, Greg Master of Public Administration (MPA)
Phone: (913) 661-1755

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 04-25136 Kansas
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Laboratories / Clinical Medical Laboratory 291U00000X 04-25136 Kansas

Profile Details

NPI number 1003016312
LBN Legal business name Advanced Dermatologic Surgery, P.A.
DBA Doing business as Advanced Dermatologic Surgery
Authorized official Albers, Greg Master of Public Administration (MPA)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2007
Last updated Jun 3rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003016312 NPPES
Other 17D0890923 CLIA #

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