Skin Group PLLC
NPI 1366564494ActiveOrganization· Dermatology, MOHS-Micrographic Surgery· Louisville, KY
Dermatology, MOHS-Micrographic Surgery in Louisville, Kentucky, registered in NPPES in April 2007. The authorized official on file is Robert H. Zax, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366564494 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2007 |
| Last updated in NPPES | Oct 9, 2024 |
| Certified by provider | Oct 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, MOHS-Micrographic Surgery Primary | 207ND0101X | 25359 | KY |
| Physician Assistant | 363A00000X | PA1034 | KY |
| Nurse Practitioner | 363L00000X | 4440P | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
Other Dermatology, MOHS-Micrographic Surgery providers in Louisville
- 1376631580
- 1689659781
All Dermatology, MOHS-Micrographic Surgery providers in Kentucky →