Raleigh Skin Surgery Center

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

RALEIGH SKIN SURGERY CENTER

Practice address

3811 Ed Dr.
110
Raleigh, NC 27612-8106

Phone

(919) 390-0200

Fax

(919) 390-0219

NPI assigned

Mar 11, 2008

Last updated

Aug 21, 2025By 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

Dr. Tamara S Housman, MDNPI 1952492548

Title

Medical Director

Phone

(919) 390-0210

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Raleigh Skin Surgery Center

  dba Vision Dermatology

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1780261669
  NPPES parent name

Practitioners 6

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.

• Tamara S Housman, MD

  • MOHS-Micrographic Surgery Physician
  • Raleigh, NC
  • NPI 1952492548

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Brianna De Souza, MD

  • Dermatology Physician
  • Tampa, FL
  • NPI 1396273215

  NC

  Medicare reassignment Care Compare group NPD
• Maureen Leahy Aarons, MD

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1891789186
  Medicare reassignment NPD
• Caroline Womack Delgado, PA-C

  • Physician Assistant
  • Raleigh, NC
  • NPI 1205715794
  NPD
• Amy Elise Duncan, PA-C

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1538830930
  NPD
• Kierra Christina Elizabeth Smith, PA-C

  • Physician Assistant
  • Raleigh, NC
  • NPI 1043028830
  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1881864411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 ED DRIVE",
            "address_2": "SUITE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128106",
            "telephone_number": "919-390-0200",
            "fax_number": "919-390-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 ED DR.",
            "address_2": "110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128106",
            "telephone_number": "919-390-0200",
            "fax_number": "919-390-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH SKIN SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "HOUSMAN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-390-0210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "200001428",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2021987A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raleigh Regional Rehab Center LLC
• Raleigh Rehabilitation Center, LLC (Raleigh Rehabilitation Center)
• Raleigh Rheumatology Associates PLLC
• Raleigh Sedation Associates LLC
• Raleigh Skin Surgery Center (Vision Dermatology)
• Raleigh Specific Chiropractic, Inc.
• Raleigh Spine and Trauma (Raleigh Center for Spine and Trauma)
• Raleigh Spine Center, PLLC
• Raleigh Surgical Group, Inc.
• Raleigh Therapy Services, Inc

• MOHS-Micrographic Surgery Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• MOHS-Micrographic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.