Individual provider Active NPI

Amelia G Damse, D.O., M.P.H.

  • MOHS-Micrographic Surgery Physician
  • Boynton Beach, FL
National Provider Identifier
1346546587
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
OS12328 Issued in FL
Practice address
10151 Enterprise Ctr Ste 204
Boynton Beach, FL 33437-3761
Phone
(561) 405-3000
Fax
(561) 459-1444
NPI assigned
Feb 6, 2011
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS12328 FL
MOHS-Micrographic Surgery Physician 207ND0101X OS12328 FL Primary

Addresses

Primary practice location

10151 Enterprise Ctr Ste 204
Boynton Beach, FL 33437-3761

Mailing address

10151 Enterprise Ctr Ste 204
Boynton Beach, FL 33437-3761
Phone (561) 405-3000

Other identifiers 2

IdentifierTypeStateIssuer
14T0MOtherFLBCBS
JN915OtherFLPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131206000671 FL Practitioner - DermatologyPractitioner - Internal Medicine 2860629441 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Nova Southeastern College of Osteo Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oceans Dermatology LLCGroup PAC ID 5799020822, 2 clinicians
Waterway Dermatology PLLCGroup PAC ID 5799116588, 5 clinicians

Practice addresses (Care Compare)

10151 Enterprise Ctr
Suite 204
Boynton Beach, FL 33437-3761
Phone (561) 405-3000

20 Waterway Rd
Tequesta, FL 33469-2418
Phone (561) 926-6150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision44
Removal of skin lesions883
Removal of skin cancer199
Removal or shaving of skin growth1-10
Skin biopsy278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Oceans Dermatology, LLC Dermatology CurrentSince Jun 7, 2018 Accepting new patients
Jacob a Marder, DNP PA Dermatology CurrentSince Jul 20, 2023 Accepting new patients
Waterway Dermatology PLLC Dermatology CurrentSince Jul 1, 2022 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Locations

10151 Entrprs Cntr Blvd
Ste 204
Boynton Beach, FL 33437
Phone (561) 405-3000

1050 SE Monterey Rd
Ste 302
Stuart, FL 34994
Phone (561) 926-6150

177 N US Highway 1
Tequesta, FL 33469
Phone (561) 402-6311

20 Waterway Rd
Tequesta, FL 33469
Phone (561) 926-6150

1411 N Flagler Dr
Ste 9000
West Palm Beach, FL 33401
Phone (561) 584-8460

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1346546587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR STE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373761",
            "telephone_number": "561-405-3000",
            "fax_number": "561-459-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR STE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373761",
            "telephone_number": "561-405-3000",
            "fax_number": "561-459-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMSE",
        "first_name": "AMELIA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-06",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS12328",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS12328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14T0M",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "JN915",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.