Skin Cancer Dermatology, PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

SKIN CANCER DERMATOLOGY, PLLC

Practice address

7979 Broadway Ste 202
San Antonio, TX 78209-2657

Phone

(210) 601-6502

Fax

(210) 908-9666

NPI assigned

Jan 16, 2020

Organization subpart

No

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

Authorized official

Name

Calvin L Day, MDNPI 1831379692

Title

Medical Doctor

Phone

(210) 601-6502

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Calvin L Day Jr., M.D.

  • MOHS-Micrographic Surgery Physician
  • San Antonio, TX
  • NPI 1831379692
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1649800848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7979 BROADWAY STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092657",
            "telephone_number": "210-601-6502",
            "fax_number": "210-908-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 BROADWAY STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092657",
            "telephone_number": "210-601-6502",
            "fax_number": "210-908-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "210-601-6502",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831379692",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2258975",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Skillett
• Skin and Wigs, Etc.
• Skin Bliss Med Spa
• Skin Bliss the Laser Spa Clinic & Aesthetics Institute
• Skin by Design Dermatology & Laser Center PA
• Skin Institute
• Skin Surgery of San Antonio, PA
• Tynisha L Skinnell, LPC-A
• Skinner Clinic, PA
• Arianna Skinner-Beck, LMFT

• MOHS-Micrographic Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.