Active NPI
Skin Trust Mohs and Dermatology, LLC
- MOHS-Micrographic Surgery Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- SKIN TRUST MOHS AND DERMATOLOGY, LLC
- Practice address
- 3260 Gulf Gate Dr
Sarasota, FL 34231-2404 - Phone
- (941) 867-1776
- Fax
- (941) 444-6726
- NPI assigned
- Mar 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Francis, MD
- Title
- Manager
- Phone
- (941) 867-1776
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| MOHS-Micrographic Surgery Physician | 207ND0101X | Primary |
Addresses
Primary practice location
3260 Gulf Gate Dr
Sarasota, FL 34231-2404
Mailing address
3260 Gulf Gate Dr
Sarasota, FL 34231-2404
Phone (941) 867-1776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2262751 | Skin Trust Mohs and Dermatology, LLC | Compliance | May 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
3260 Gulf Gate Dr
Sarasota, FL 34231
Phone (941) 867-1776
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00273
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- Sarasota, FL
- NPI 1386841724
Dermatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647043200000",
"number": "1154907608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 GULF GATE DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342312404",
"telephone_number": "941-867-1776",
"fax_number": "941-444-6726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 GULF GATE DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342312404",
"telephone_number": "941-867-1776",
"fax_number": "941-444-6726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIN TRUST MOHS AND DERMATOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-23",
"last_updated": "2022-03-12",
"certification_date": "2022-03-12",
"status": "A",
"authorized_official_last_name": "FRANCIS",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "941-867-1776",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; 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.