Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advanced Dermatologic Surgery, PA

Organization Specialist · NPI 1003016312

Advanced Dermatologic Surgery, PA is a Specialist in Overland Park, Kansas. Works from 2 locations. Licensed in Kansas.

Licensed in
KS
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6901 W 121st St
Overland Park, KS 66209-2007
Phone: (913) 661-1755
Fax: (913) 661-9260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6410 N Cosby Ave, Kansas City, MO 64151-2377 — (816) 643-4501

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X
Specialist Taxonomy 174400000X · Licence 04-25136 (KS)
Clinical Medical Laboratory Taxonomy 291U00000X · Licence 04-25136 (KS)

Record details

NPI number1003016312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Albers — Cfo · (913) 661-1755
Other names Advanced Dermatologic Surgery; Advanced Dermatologic Surgery; Trinity Dermatology
NPI enumeratedJuly 24, 2007
Last updated in NPPESJune 3, 2022
Certification dateJune 3, 2022
Mailing address6901 W 121st St, Overland Park, KS 66209-2007

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