NPIMap

Organization Active NPI

Dermasurgery Center, P.C.

  • Procedural Dermatology Physician
  • Lancaster, PA
National Provider Identifier
1245386556
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
DERMASURGERY CENTER, P.C.
Practice address
230 Harrisburg Ave
Ste 4
Lancaster, PA 17603
Phone
(717) 399-9800
Fax
(717) 399-7613
NPI assigned
Jan 27, 2007
Last updated
Dec 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Susan Teri McGillisNPI 1750345278
Title
Owner
Phone
(717) 399-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD430176 PA
Dermatology Physician 207N00000X PA
MOHS-Micrographic Surgery Physician 207ND0101X MD430176 PA
MOHS-Micrographic Surgery Physician 207ND0101X PA
Procedural Dermatology Physician 207NS0135X MD430176 PA
Procedural Dermatology Physician 207NS0135X PA Primary

Addresses

Primary practice location

230 Harrisburg Ave
Ste 4
Lancaster, PA 17603

Mailing address

230 Harrisburg Ave
Ste 4
Lancaster, PA 17603
Phone (717) 399-9800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1245386556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HARRISBURG AVE",
            "address_2": "STE 4",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "717-399-9800",
            "fax_number": "717-399-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HARRISBURG AVE",
            "address_2": "STE 4",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "717-399-9800",
            "fax_number": "717-399-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMASURGERY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "MCGILLIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "TERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-399-9800"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD430176",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD430176",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD430176",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.