Active NPI
Sici Mohs Center PC
- MOHS-Micrographic Surgery Physician
- Sugarloaf, PA
National Provider Identifier
1871373035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- SICI MOHS CENTER PC
- Practice address
- 6 Brookhill SQ S
Sugarloaf, PA 18249-1010 - Phone
- (704) 590-0295
- Fax
- (570) 454-5757
- NPI assigned
- Oct 4, 2023
- Last updated
- Dec 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine E Cabell, MD
- Title
- Authorized Official
- Phone
- (704) 590-0295
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | NU | Primary |
Addresses
Primary practice location
6 Brookhill SQ S
Sugarloaf, PA 18249-1010
Mailing address
6 Brookhill SQ S
Sugarloaf, PA 18249-1010
Phone (570) 991-8292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6 Brookhill Sq S
Sugarloaf, PA 18249
Phone (570) 459-0029
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Dermatology Physician
- Sugarloaf, PA
- NPI 1710952619
-
- MOHS-Micrographic Surgery Physician
- Sugarloaf, PA
- NPI 1962847152
-
- Medical Physician Assistant
- Lehighton, PA
- NPI 1396847406
-
- Dermatology Physician
- Sugarloaf, PA
- NPI 1861487449
Mohs-Micrographic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702944000000",
"number": "1871373035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BROOKHILL SQ S",
"city": "SUGARLOAF",
"state": "PA",
"postal_code": "182491010",
"telephone_number": "570-991-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BROOKHILL SQ S",
"city": "SUGARLOAF",
"state": "PA",
"postal_code": "182491010",
"telephone_number": "704-590-0295",
"fax_number": "570-454-5757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SICI MOHS CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-04",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A",
"authorized_official_last_name": "CABELL",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "704-590-0295",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugarloaf, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.