Skin Cancer Surgery Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

23409 Issued in OR

Legal business name

SKIN CANCER SURGERY CENTER LLC

Practice address

6370 SW Borland Rd Ste 201
Tualatin, OR 97062-9754

Phone

(503) 691-1122

NPI assigned

Jul 1, 2010

Last updated

Jul 1, 2010By 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. David M Kao, MDNPI 1417956020

Title

Owner

Phone

(503) 691-1122

Specialties & licenses 1

Addresses

Locations

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.

• David Ming Fung Kao, M.D.

  • Specialist
  • Tualatin, OR
  • NPI 1417956020
  NPD Authorized official
• Keleigh Marie Nersasian, PA-C

  • Surgical Physician Assistant
  • Tualatin, OR
  • NPI 1215193057
  NPD (past)
• Julia Ho Obadiah, M.D.

  • MOHS-Micrographic Surgery Physician
  • Portland, OR
  • NPI 1326020561
  NPD (past)
• Stephen N Snow, MD

  • MOHS-Micrographic Surgery Physician
  • Portland, OR
  • NPI 1205805405
  NPD (past)

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1912218223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 SW BORLAND RD STE 201",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629754",
            "telephone_number": "503-691-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 SW BORLAND RD STE 201",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629754",
            "telephone_number": "503-691-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "KAO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-691-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "23409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Lane Silver, PHD
• Amy Silvey, RN
• Naiya Singh, CADCII
• Prabhjot Singh, MD
• Skin Cancer Surgery Center
• Sleeprhythm LLC
• Janey Susan Sletten, LMT
• Michael P Sluss, MD
• Anne-Marie Smith, PHD
• Teri Lee Smits, RN

• Clinic/Center in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.