Organization
Advanced Dermatologic Surgery, P.A.
Provider's NPPES record last updated: June 3, 2022
Overview
- Entity Type
- Organization
- NPI
- 1003016312
- Primary Specialty
- Dermatology — MOHS-Micrographic Surgery
- Practice Location
- Overland Park, Kansas
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 9:57 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dermatology
MOHS-Micrographic Surgery
Allopathic & Osteopathic Physicians
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Taxonomy code 207ND0101X Specialist
Other Service Providers
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Taxonomy code 174400000XClinical Medical Laboratory
Laboratories
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Taxonomy code 291U00000X
Provider-Reported License Information
- Specialist (Kansas)
- 04-25136
- Clinical Medical Laboratory (Kansas)
- 04-25136
Practice Locations
Practice Location
6901 W 121st St
Overland Park, Kansas 66209-2007
Phone: (913) 661-1755
Additional Practice Location
6410 N Cosby Ave
Kansas City, Missouri 64151-2377
Phone: (816) 643-4501
Other Names
- Advanced Dermatologic SurgeryReported June 3, 2022
- Advanced Dermatologic SurgeryReported July 24, 2007
- Trinity DermatologyReported June 3, 2022
Record Information
- Enumeration Date
- July 24, 2007
- Provider's NPPES Record Last Updated
- June 3, 2022
- Certification Date
- June 3, 2022
- NPISignal NPPES Dataset
- August 2026
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