Active NPIOrganization

Advanced Dermatology Skin Cancer & Laser Surgery Center P.c.

Dermatology in Evergreen, Colorado

NPI Number1306448220
Practice location
30960 Stagecoach Blvd, Ste W140, Evergreen, CO 80439-7897
Fax
303-670-7067
Last updated
November 16, 2020

Advanced Dermatology Skin Cancer & Laser Surgery Center P.c. is a healthcare organization based in Evergreen, CO. The NPI number for Advanced Dermatology Skin Cancer & Laser Surgery Center P.c. is 1306448220. The current practice location address is 30960 Stagecoach Blvd, Ste W140, Evergreen, CO 80439-7897 and the office can be reached by phone at 303-670-7065 and by fax at 303-670-7067. The NPI was assigned on November 16, 2020 and the record was last updated in NPPES on November 16, 2020.

●Provider Profile Details

NPI Number
1306448220
Provider Name
Advanced Dermatology Skin Cancer & Laser Surgery Center P.c.
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Gregory G Papadeas, DO · Doctor Of Osteopathic Medicine · 303-368-8611
Enumeration Date
November 16, 2020
Last Update Date
November 16, 2020
Certification Date
November 16, 2020
NPI Status
Active

◉Business Practice Location Address

Address
30960 Stagecoach Blvd
Ste W140
Evergreen, CO 80439-7897
ZIP
80439-7897
Country
US
Phone Number
303-670-7065
Fax Number
303-670-7067

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✉Business Mailing Address

Address
3464 S. Willow Street
Suite 194
Denver, CO 80231-4531
City
Denver
State
CO
ZIP
80231-4531
Phone Number
303-755-2900
Fax Number
303-755-0404

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dermatology
193400000X - Single Specialty Group
207N00000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Advanced Dermatology Skin Cancer & Laser Surgery Center P.c.?

The NPI number of Advanced Dermatology Skin Cancer & Laser Surgery Center P.c. is 1306448220. It was assigned on November 16, 2020 and is currently active in the NPPES registry.

What is the specialty of Advanced Dermatology Skin Cancer & Laser Surgery Center P.c.?

Advanced Dermatology Skin Cancer & Laser Surgery Center P.c. is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does Advanced Dermatology Skin Cancer & Laser Surgery Center P.c. practice?

The practice location is 30960 Stagecoach Blvd, Ste W140, Evergreen, CO 80439-7897. The office can be reached at 303-670-7065 (phone) or 303-670-7067 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306448220 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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