Skin Surgery Clinic

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

SKIN SURGERY CLINIC

Practice address

1414 116TH Ave NE Ste D
Bellevue, WA 98004-3801

Phone

(206) 486-5189

NPI assigned

Feb 15, 2019

Last updated

Feb 15, 2019By 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

Linda Chang

Title

Representative

Phone

(206) 486-5189

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1710443619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 116TH AVE NE STE D",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 116TH AVE NE STE D",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043801",
            "telephone_number": "206-486-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN SURGERY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "206-486-5189"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Sjoberg, MD
• Michael G Skalecki, SUDPT
• Andrea Caroline Skerry, MA, LMHC
• Marsha Skewis, PH.D.
• Skin Surgery Center PS (Skin Surgery Center)
• Lonny C Skjervheim, D.C.
• Jennifer Skorch, MS, LMFT
• Adam Michael Skrypczak, DDS, MSD
• Natalia Skuin
• Sky Chiropractic Bellevue PS Inc

• MOHS-Micrographic Surgery Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• MOHS-Micrographic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.