Organization Active NPI

Mohs Surgery Center of Richmond Dermatology, PLLC

Doing business as Mohs Center of Richmond Dermatology

  • MOHS-Micrographic Surgery Physician
  • Richmond, VA
National Provider Identifier
1033021662
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
MOHS SURGERY CENTER OF RICHMOND DERMATOLOGY, PLLC
Doing business as
Mohs Center of Richmond Dermatology
Practice address
3829 Gaskins Rd
Richmond, VA 23233-1437
Phone
(804) 538-1033
Fax
(866) 274-0799
NPI assigned
Sep 18, 2026
Organization subpart
Yes
Parent organization
RICHMOND DERMATOLOGY SPECIALISTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Mr. Matthew Malone Wallace, MD
Title
Vice President
Phone
(703) 431-9519

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X Primary

Addresses

Primary practice location

3829 Gaskins Rd
Richmond, VA 23233-1437

Mailing address

9816 Mayland Dr
Richmond, VA 23233-1457
Phone (804) 286-4927

Other names 1

  • Mohs Center of Richmond Dermatology Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1033021662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9816 MAYLAND DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331457",
            "telephone_number": "804-286-4927",
            "fax_number": "804-285-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 GASKINS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331437",
            "telephone_number": "804-538-1033",
            "fax_number": "866-274-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHS SURGERY CENTER OF RICHMOND DERMATOLOGY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHMOND DERMATOLOGY SPECIALISTS",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MALONE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "703-431-9519",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohs Center of Richmond Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.