Goodman Dermatology and Mohs Surgery PLLC
NPI 1841073723ActiveOrganization· Dermatology· Sun City West, AZ
Dermatology in Sun City West, Arizona, registered in NPPES in August 2023. The authorized official on file is Michelle Bogdan, Billing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1841073723 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2023 |
| Last updated in NPPES | Feb 11, 2025 |
| Certified by provider | Feb 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
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 (AZ) |
|---|
Other dermatologists in Sun City West
- 1144270059
- 1508893975
- 1679556633
- 1265480644
- 1447208822
- 1871546267