NPIMap

Organization Active NPI

Absolute Dermatology P.C.

  • Dermatology Physician
  • Henrico, VA
National Provider Identifier
1003440355
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ABSOLUTE DERMATOLOGY P.C.
Practice address
1300 Wilkes Ridge Dr Ste 200
Henrico, VA 23233-7963
Phone
(804) 326-4448
Fax
(309) 326-4947
NPI assigned
Feb 26, 2020
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Spencer Gillen, MDNPI 1932460441
Title
Mohs Surgeon
Phone
(757) 897-5236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X
Procedural Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207NS0135X

Addresses

Primary practice location

1300 Wilkes Ridge Dr Ste 200
Henrico, VA 23233-7963

Mailing address

1206 Porter St Unit B
Richmond, VA 23224-2107
Phone (757) 897-5236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200519001063 VA Part B Supplier - Clinic/Group Practice 6204267651 Receives reassigned benefits from 10 practitioners
Practice locations: Chesterfield, VA; Glen Allen, VA; Richmond, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2025069Absolute Dermatology PC1300 Wilkes Ridge Drive, Suite 200, Henrico, VA 23233ComplianceDec 12, 2027

National Provider Directory

National Provider Directory

Locations

7300 Ashlake Pkwy
Ste 101
Chesterfield, VA 23832

7300 Ashlake Pkwy
Ste 102
Chesterfield, VA 23832
Phone (804) 326-4448

1300 Wilkes Ridge Dr
Ste 200
Richmond, VA 23233
Phone (804) 326-4448

1300 Wilkes Ridge Dr
Ste 201
Richmond, VA 23233

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1003440355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 PORTER ST UNIT B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242107",
            "telephone_number": "757-897-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WILKES RIDGE DR STE 200",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337963",
            "telephone_number": "804-326-4448",
            "fax_number": "309-326-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE DERMATOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "GILLEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "MOHS SURGEON",
        "authorized_official_telephone_number": "757-897-5236",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.