The Goslen Center for Skin Wellness, P.a.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

THE GOSLEN CENTER FOR SKIN WELLNESS, P.A.

Practice address

1918 Randolph Rd
Suite550
Charlotte, NC 28207-1100

Phone

(704) 375-6766

Fax

(704) 332-6552

NPI assigned

Jul 3, 2006

Last updated

Aug 22, 2020By 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. Junius Blake Goslen III, M.D.NPI 1265406482

Title

President

Phone

(704) 375-6766

Specialties & licenses 1

Addresses

Tax ID family

J Blake Goslen MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Goslen Aesthetic & Skin Center

  • Medical Specialty Clinic/Center
  • Charlotte, NC
  • NPI 1134149842
  NPD tax ID

Practitioners 1

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.

• Junius Blake Goslen III, M.D.

  • MOHS-Micrographic Surgery Physician
  • Charlotte, NC
  • NPI 1265406482
  Authorized official Same address or phone

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992734669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "SUITE550",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071100",
            "telephone_number": "704-375-6766",
            "fax_number": "704-332-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "SUITE550",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071100",
            "telephone_number": "704-375-6766",
            "fax_number": "704-332-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOSLEN CENTER FOR SKIN WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOSLEN",
        "authorized_official_first_name": "JUNIUS",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-375-6766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "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": []
}

• The Family Advocates
• The Family Center
• The G.L.U. Club, LLC
• The Geechie Doula
• The Goslen Aesthetic & Skin Center
• The Harbor Counseling Center PLLC
• The Healing Chapter PLLC
• The Healing Heart Center
• The Healing Institute, PLLC
• The Healing Role P.L.L.C

• MOHS-Micrographic Surgery Physician in Charlotte, NC
• Providers in Charlotte, 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 22, 2020; 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.