Individual provider Active NPI

Jamison Strahan, MD

  • MOHS-Micrographic Surgery Physician
  • Centennial, CO
National Provider Identifier
1578600839
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
DR44802 Issued in CO
Practice address
12645 E Euclid Dr
Centennial, CO 80111-6437
Phone
(303) 493-1910
NPI assigned
Jan 30, 2007
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 DR44802 CO
MOHS-Micrographic Surgery Physician 207ND0101X DR44802 CO Primary

Addresses

Primary practice location

12645 E Euclid Dr
Centennial, CO 80111-6437

Mailing address

12645 E Euclid Dr
Centennial, CO 80111-6437
Phone (303) 493-1910

Other practice location 1

710 Summit Blvd Ste 102
Frisco, CO 80443-5881
Phone (970) 668-9650

Other practice location 2

1390 S Potomac St Ste 124
Aurora, CO 80012-4529
Phone (303) 368-8611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822001259 CO Practitioner - Micrographic Dermatologic Surgery (MDS) 3375696867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
University of Texas Medical Branch at Galveston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12645 E Euclid Dr
Centennial, CO 80111-6437
Phone (303) 493-1910

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
73.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision169
Removal of tissue12
Removal of skin lesions62
Removal of skin cancer759
Removal or shaving of skin growth20
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR44802COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. Dermatology CurrentSince Sep 1, 2022 Accepting new patients
Mountain Wellness PLLC Dermatology Current Accepting new patients
Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. Dermatology CurrentSince Sep 1, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients

Locations

1390 S Potomac St
Ste 124
Denver, CO 80012
Phone (303) 368-8611

3464 S Willow St
Ste 194
Denver, CO 80231

12645 E Euclid Dr
Englewood, CO 80111
Phone (303) 368-8611

Interoperability endpoints

  • Direct secure messaging: jstrahan@advaderm.emadirect.md

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1578600839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12645 E EUCLID DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116437",
            "telephone_number": "303-493-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12645 E EUCLID DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116437",
            "telephone_number": "303-493-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Summit Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "804435881",
            "country_code": "US",
            "telephone_number": "970-668-9650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1390 S Potomac St Ste 124",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124529",
            "country_code": "US",
            "telephone_number": "303-368-8611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAHAN",
        "first_name": "JAMISON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR44802",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "DR44802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.