Macinnis Dermatology
NPI 1992035695ActiveOrganization· Dermatology, MOHS-Micrographic Surgery· Leesburg, FL
Dermatology, MOHS-Micrographic Surgery in Leesburg, Florida, registered in NPPES in January 2010. The authorized official on file is Colleen Macinnis, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992035695 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2010 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, MOHS-Micrographic Surgery Primary | 207ND0101X | ME100399 | FL |
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 (FL) |
|---|
Other Dermatology, MOHS-Micrographic Surgery providers in Leesburg
- 1952987505
- 1831188630
All Dermatology, MOHS-Micrographic Surgery providers in Florida