Individual provider Active NPI

William Spencer Gillen, M.D.

  • MOHS-Micrographic Surgery Physician
  • Richmond, VA
National Provider Identifier
1932460441
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
0101261999 Issued in VA
Practice address
1300 Wilkes Ridge Dr Ste 200
Richmond, VA 23233-7963
Phone
(804) 326-4448
Fax
(309) 326-4947
NPI assigned
May 31, 2012
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 128667 OH
MOHS-Micrographic Surgery Physician 207ND0101X 0101261999 VA Primary

Addresses

Primary practice location

1300 Wilkes Ridge Dr Ste 200
Richmond, VA 23233-7963

Mailing address

1300 Wilkes Ridge Dr Ste 200
Richmond, VA 23233-7963
Phone (804) 326-4448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815002487 VA Practitioner - Dermatology 4486893633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Absolute Dermatology PCGroup PAC ID 6204267651, 10 clinicians

Practice addresses (Care Compare)

7300 Ashlake Pkwy
Suite 102
Chesterfield, VA 23832-2827
Phone (804) 326-4448

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision388
Removal of skin lesions174
Removal of skin cancer1186
Removal or shaving of skin growth1-10
Skin biopsy211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
128667OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Dermatology P.C. Dermatology CurrentSince Mar 1, 2020 Accepting new patients
Tapestry Telehealth PLLC CurrentSince Jan 1, 2018 Accepting new patients
Skin Cancer Center Inc Past Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

7300 Ashlake Pkwy
Ste 102
Chesterfield, VA 23832
Phone (804) 326-4448

5207 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 326-4448

1300 Wilkes Ridge Dr
Ste 200
Richmond, VA 23233
Phone (804) 326-4448

1300 Wilkes Ridge Dr
Ste 201
Richmond, VA 23233

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1932460441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WILKES RIDGE DR STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337963",
            "telephone_number": "804-326-4448",
            "fax_number": "309-326-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WILKES RIDGE DR STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337963",
            "telephone_number": "804-326-4448",
            "fax_number": "309-326-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "WILLIAM",
        "middle_name": "SPENCER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "128667",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101261999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.