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

Skin & Mohs Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1881875227

Skin & Mohs Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Lees Summit, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3265 NE Ralph Powell Rd
Lees Summit, MO 64064-2301
Phone: (816) 524-4747
Fax: (816) 524-4929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8380 N Tullis Ave, Kansas City, MO 64158-5113 — (913) 451-7546

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 188-0 (MO)

Record details

NPI number1881875227
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOliver Street Dermatology Holdings, LLC
Authorized official Glenn Goldstein — Medical Director · (913) 451-7546
NPI enumeratedNovember 14, 2007
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301

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