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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- 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 SPECIALISTS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| MOHS-Micrographic Surgery Physician | 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
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.