Organization
SKIN SURGERY CENTER PA
Active
Organization
SKIN SURGERY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY LESHIN M.D. (PRESIDENT)
(336) 724-2434
Entity
Organization
Contact information
Practice address
1450 PROFESSIONAL PARK DR, SUITE 150, WINSTON SALEM, NC 27103-1300
(336) 724-2434
(336) 724-6123
Mailing address
1450 PROFESSIONAL PARK DR, SUITE 150, WINSTON SALEM, NC 27103-1300
(336) 724-2434
(336) 724-6123
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011WP
BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
NC
01
—
7110186
AETNA
NC
05
—
89011WP
—
NC
01
—
CH4494
RAILROAD MEDICARE
—
01
—
F309
BLUE MEDICARE
NC
Enumeration date
04/28/2006
Last updated
04/04/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up