Organization Active NPI

Skin Trust Mohs and Dermatology, LLC

  • MOHS-Micrographic Surgery Physician
  • Sarasota, FL
National Provider Identifier
1154907608
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
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

Updated by the provider on Mar 12, 2022

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

Authorized official

Name
Dr. Joseph Francis, MDNPI 1386841724
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20220321000631 FL Part B Supplier - Clinic/Group Practice 4789079286 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

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
10D2262751Skin Trust Mohs and Dermatology, LLC3260 Gulf Gate Drive, Sarasota, FL 34231ComplianceMay 8, 2027

National Provider Directory

National Provider Directory

Locations

3260 Gulf Gate Dr
Sarasota, FL 34231
Phone (941) 867-1776

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.