Organization Active NPI

Skin Cancer Surgery Center, LLC

  • MOHS-Micrographic Surgery Physician
  • Bethesda, MD
National Provider Identifier
1942276852
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
SKIN CANCER SURGERY CENTER, LLC
Practice address
6410 Rockledge Dr
Suite 300
Bethesda, MD 20817-7811
Phone
(301) 564-3131
Fax
(301) 564-6391
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Dr. Mark Lawrence Welch, M.D.
Title
Partner / Physician
Phone
(301) 564-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X Primary

Addresses

Primary practice location

6410 Rockledge Dr
Suite 300
Bethesda, MD 20817-7811

Mailing address

6410 Rockledge Dr
Suite 300
Bethesda, MD 20817-7811
Phone (301) 564-3131

National Provider Directory

National Provider Directory

Locations

1900 N Beauregard St
Ste 100
Alexandria, VA 22311
Phone (703) 204-0000

8503 Arlington Blvd
Ste 150
Fairfax, VA 22031
Phone (301) 564-3131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1942276852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "SUITE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177811",
            "telephone_number": "301-564-3131",
            "fax_number": "301-564-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "SUITE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177811",
            "telephone_number": "301-564-3131",
            "fax_number": "301-564-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PARTNER / PHYSICIAN",
        "authorized_official_telephone_number": "301-564-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.