The Skin Cancer Surgery Center of Naples, LLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

ME103242 Issued in FL

Legal business name

THE SKIN CANCER SURGERY CENTER OF NAPLES, LLC

Doing business as

scscnaples

Practice address

29170 Positano Court
Naples, FL 34110-2851

Phone

(301) 661-4300

NPI assigned

Jun 10, 2010

Last updated

Aug 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Stephen Freitag, M.D.NPI 1053387050

Title

Owner

Phone

(239) 594-3131

Specialties & licenses 1

Addresses

Other names 1

• scscnaples Doing business as

Practitioners 2

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.

• David Stephen Freitag, M.D.

  • MOHS-Micrographic Surgery Physician
  • Bonita Springs, FL
  • NPI 1053387050
  Authorized official Same address or phone
• Debbie A. Wallace, PA-C

  • Medical Physician Assistant
  • Naples, FL
  • NPI 1881634327
  NPD (past)

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1164742383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29170 POSITANO COURT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341102851",
            "telephone_number": "301-661-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29170 POSITANO COURT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341102851",
            "telephone_number": "301-661-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SKIN CANCER SURGERY CENTER OF NAPLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "FREITAG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-594-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME103242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "scscnaples",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Naples Endoscopy ASC LP (The Endoscopy Center of Naples)
• The Paradise Facility Home Care Inc
• The Psychiatry Collective PLLC
• The Resilient Athlete Performance PT (The Resilient Athlete PT)
• The Retina & Macular Degeneration Center of SW Florida PLLC
• The Sterne Group Inc (Foot Solutions)
• The Vascular Group of Naples
• Shanon Thein, OT
• Andrew J Theiss, PH.D.
• Therapeutic Integration Services, Inc

• MOHS-Micrographic Surgery Physician in Naples, FL
• Providers in Naples, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.