Dermatology And Skin Cancer Center — NPI 1093596652
Dermatology And Skin Cancer Center’s National Provider Identifier is 1093596652. NPPES classifies this as a Type 2 organization record and reports a practice location in Bloomington, Illinois. The primary taxonomy is Dermatology Physician.
Key facts
- NPI
- 1093596652
- Entity type
- Type 2 organization
- NPPES status
- Active in the August 10, 2026 snapshot
- Practice location
- 3302 GERIG DR STE 100
Bloomington, Illinois 61704 - Practice telephone
- (309) 533-7070
- Primary taxonomy
- Dermatology Physician
- Additional taxonomies
-
- MOHS-Micrographic Surgery Physician
- Enumeration date
- October 10, 2023
- NPPES last update
- December 17, 2024
- Source
- CMS NPPES, NPPES Data Dissemination August 2026 V2
Questions answered by the NPPES record
What is the NPI for Dermatology And Skin Cancer Center?
The NPI listed for Dermatology And Skin Cancer Center in the NPPES snapshot is 1093596652. The number passes the NPI check-digit test and is recorded as active in that snapshot.
Is NPI 1093596652 an individual or organization record?
NPPES records NPI 1093596652 as an Entity Type 2 record, which CMS assigns to an organization health care provider.
Where is the reported practice location?
The primary practice location reported to NPPES is 3302 GERIG DR STE 100, Bloomington, Illinois 61704.
What taxonomy codes are listed for this NPI?
2 taxonomy codes are listed. Primary: Dermatology Physician (207N00000X). Additional: MOHS-Micrographic Surgery Physician (207ND0101X). Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.
When was the NPPES record last updated?
NPPES reports a last update date of December 17, 2024 and an enumeration date of October 10, 2023, as published in NPPES Data Dissemination August 2026 V2.
Source and data date
All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.
CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.
Directory pages
This profile is listed on the Bloomington, Illinois NPI directory and the Illinois NPI directory.
Other published profiles in Bloomington, IL
Up to ten other profiles this site publishes for Bloomington, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 50 published profiles.
Independent service disclaimer
This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.