SUNSHINE STATE DERMATOLOGY AND SKIN CANCER CENTER INC
SUNSHINE STATE DERMATOLOGY AND SKIN CANCER CENTER INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1164122347, based in North Port, FL. The organization lists 3 taxonomy classifications, with MOHS-Micrographic Surgery Physician recorded as primary.
Getting there
The practice address on file is 12497 TAMIAMI TRL S, UNIT 1, North Port, FL 34287. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0244699387
- Enrollment ID
- O20230706004102
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What MOHS-Micrographic Surgery covers
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. NUCC Health Care Provider Taxonomy, code 207ND0101X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | — | — | |
| 207ND0101X | MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery | — | — | primary |
| 207NP0225X | Pediatric Dermatology Physician Pediatric Dermatology | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1164122347 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 7, 2023 |
| Last updated | Jul 31, 2024 |
| Status | Active |
| Practice address |
12497 TAMIAMI TRL S, UNIT 1 North Port, FL 34287 (941) 282-3376 Fax (941) 282-3378 |
| Mailing address |
88 SUGAR MILL DR Osprey, FL 34229 |
| Other names |
Sunshine State Dermatology And Skin Cancer Center Former Legal Name Sunshine State Dermatology And Skin Cancer Center Inc Other Name |
| Other identifiers |
1932193729
· Other YCEA9 · Other (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 6 | 4 | 1 | 2 | 2 | 3 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 3 | 4 | 2 | 2 | 4 | 3 | 8 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.