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NPISignal

Individual Healthcare Provider

Fa Abigail C De Imus, MD

NPI Record: ActiveDermatology — MOHS-Micrographic Surgery
NPI1265498901
Marysville, Washington

Provider's NPPES record last updated: February 16, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1265498901
Primary Specialty
Dermatology — MOHS-Micrographic Surgery
Practice Location
Marysville, Washington
Sole Proprietor
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 identified

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 21, 2026, 2:17 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

Not checked

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.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dermatology

    MOHS-Micrographic Surgery

    Allopathic & Osteopathic Physicians

    Primary

    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

Provider-Reported License Information

Dermatology (Washington)
38739
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2901 174th St Ne

Marysville, Washington 98271-4743

Phone: (360) 454-1941

Additional Practice Location

3726 Colby Ave

Everett, Washington 98201-4911

Phone: (425) 259-0966

Record Information

Enumeration Date
April 21, 2006
Provider's NPPES Record Last Updated
February 16, 2023
Certification Date
February 16, 2023
NPISignal NPPES Dataset
August 2026

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