Brian Wanner, D.O.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

83813 Issued in SC

Practice address

2250 W Southern Ave Ste 102
Mesa, AZ 85202-4736

Phone

(480) 835-5532

NPI assigned

Apr 8, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, AZ2 enrollments

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 2

Specialty

Micrographic Dermatologic Surgery (MDS)

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Cancer Specialists LTDGroup PAC ID 4486883469, 4 clinicians

Skin Care Specialists PLLCGroup PAC ID 7315286044, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.22 of 100Reported as group

Quality

90.79

Promoting interoperability

100

Improvement activities

40

Cost

89.93

Merit-based Incentive Payment System (MIPS)

Final score

87.93 of 100Reported as group

Quality

69.82

Improvement activities

40

Cost

100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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

• Skin Cancer Specialists, LTD

  • MOHS-Micrographic Surgery Physician
  • Mesa, AZ
  • NPI 1376893164
  Medicare reassignment Care Compare group NPD
• Skin Care Specialists PLLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1104391655
  Medicare reassignment Care Compare group NPD
• Paragon Skin & Surgery

  • MOHS-Micrographic Surgery Physician
  • Anderson, SC
  • NPI 1376757427
  NPD
• Desert Cliffs Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1639431653
  NPD (past)
• Oakview Dermatology

  • Dermatology Physician
  • Rock Hill, SC
  • NPI 1942844667
  NPD (past)
• Paragon Skin & Surgery, PA

  • Durable Medical Equipment & Medical Supplies
  • Anderson, SC
  • NPI 1811856230
  NPD (past)

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

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1982137725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 W SOUTHERN AVE STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024736",
            "telephone_number": "480-835-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 W SOUTHERN AVE STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024736",
            "telephone_number": "480-835-5532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 N. Fant Street",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "29621",
            "country_code": "US",
            "telephone_number": "864-375-7551",
            "fax_number": "864-231-8073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "485 Tom Hall St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297152353",
            "country_code": "US",
            "telephone_number": "803-659-3671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANNER",
        "first_name": "BRIAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-08",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "SC",
            "license": "83813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliera Marie Wandrey
• Alisa Wang
• George Wang, M.D
• Yen Chun Wang, DDS
• Macy Joanne Wangler
• Connor Ward
• Eva Lorane Ward
• Isabelle Ward, PT, DPT
• Kylie Kathleen Ward
• Shelby Dana Ward, MS, LAC

• MOHS-Micrographic Surgery Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• MOHS-Micrographic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.