Active NPI 1871557348 Individual Practitioner Male Practitioner

Dr. Alan Roy Stanford , MD

Dermatology • Daphne, AL

Professional Overview & Biography Verified Profile Summary

Dr. Alan Stanford, MD is a registered healthcare professional specializing in Dermatology in Daphne, AL. Practice services are available at 8573 COUNTY ROAD 64 under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8573 County Road 64

Daphne, AL 36526

Telephone 2516212244

Fax 2516217209

Associated Practice Facility / Clinic

🏢 Deep South Dermatology Facility NPI 1710054556

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Daphne, AL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Daphne, AL (178 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,374	272	$84.00	$6.09
99213 Established patient office or other outpatient visit, typically 15 minutes	463	407	$263.00	$84.16
17000 Destruction of skin growth	369	345	$303.63	$53.45
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	257	43	$793.20	$241.06
G6001 Ultrasonic guidance for placement of radiation therapy fields	257	42	$241.80	$161.48
77401 Radiation treatment delivery, superficial	246	43	$104.74	$36.29
11102 Tangential biopsy of single skin lesion	92	87	$378.00	$87.62
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	80	66	$695.89	$150.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	69	$147.53	$52.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	53	$372.00	$119.43
17110 Destruction of up to 14 skin growths	46	46	$419.00	$102.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$321.00	$99.33
17004 Destruction of precancer skin growth, 15 or more growths	37	35	$734.31	$154.90
11103 Biopsy of related skin growth, each additional growth	22	19	$205.00	$46.01
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	20	$2438.57	$269.69
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	21	18	$2929.31	$623.07
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	21	$936.14	$112.54
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	20	$759.41	$173.94
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	18	$1649.62	$348.49
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	16	13	$495.00	$124.56
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	16	13	$465.28	$384.92
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$223.46	$67.12
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$617.67	$106.92
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$1002.00	$257.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$474.00	$155.61
11104 Punch biopsy, first skin growth	12	12	$475.00	$114.64
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$864.31	$190.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,017	443	$73.88	$6.24
99213 Established patient office or other outpatient visit, typically 15 minutes	844	576	$188.52	$86.03
17000 Destruction of skin growth	754	541	$303.63	$54.93
11102 Tangential biopsy of single skin lesion	183	159	$286.83	$92.17
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	154	126	$695.89	$153.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	121	$147.53	$53.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	94	$273.20	$121.04
17004 Destruction of precancer skin growth, 15 or more growths	98	71	$734.31	$157.74
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	91	79	$2929.31	$614.91
17110 Destruction of up to 14 skin growths	73	66	$341.58	$105.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$291.03	$106.68
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	46	26	$465.28	$373.96
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	40	26	$495.00	$123.86
11103 Biopsy of related skin growth, each additional growth	38	26	$154.71	$47.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	38	18	$16.33	$1.15
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	37	36	$2438.57	$224.96
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	31	29	$1045.56	$145.17
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	25	25	$759.41	$177.41
11900 Injection into skin growth, 1-7 growths	18	15	$201.78	$38.38
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	15	$864.31	$187.67
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$100.41	$21.32
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	14	$570.30	$123.43
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$854.43	$222.75
69100 Biopsy of ear	12	12	$677.59	$79.43
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$617.67	$108.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,164	454	$73.88	$6.10
99213 Established patient office or other outpatient visit, typically 15 minutes	826	595	$188.52	$87.82
17000 Destruction of skin growth	766	554	$303.63	$54.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	178	158	$147.53	$53.84
11102 Tangential biopsy of single skin lesion	172	154	$286.83	$90.90
17110 Destruction of up to 14 skin growths	147	133	$341.58	$104.54
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	112	101	$2929.31	$639.70
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	106	84	$695.89	$156.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	94	$273.20	$124.62
17004 Destruction of precancer skin growth, 15 or more growths	95	71	$734.31	$155.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$291.03	$107.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	59	24	$16.33	$1.27
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	52	49	$1045.56	$151.88
11103 Biopsy of related skin growth, each additional growth	52	34	$154.71	$50.13
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	43	28	$465.28	$391.00
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	40	30	$495.00	$133.23
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	30	29	$2438.57	$230.55
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	27	26	$1781.35	$390.41
69100 Biopsy of ear	25	22	$677.59	$81.34
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	20	$759.41	$168.42
11900 Injection into skin growth, 1-7 growths	21	21	$201.78	$38.48
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	19	$854.43	$250.26
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$223.46	$70.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$351.63	$163.03
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	15	$1649.62	$299.61
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$617.67	$110.40
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	12	$864.31	$176.74
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$920.09	$174.06
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	11	11	$781.58	$176.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,333	463	$73.88	$5.64
99213 Established patient office or other outpatient visit, typically 15 minutes	899	654	$188.52	$71.36
17000 Destruction of skin growth	803	578	$303.63	$53.05
11102 Tangential biopsy of single skin lesion	211	189	$286.83	$90.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	140	$273.20	$103.59
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	123	112	$2929.31	$624.63
17110 Destruction of up to 14 skin growths	112	106	$341.58	$104.27
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	85	70	$695.89	$147.71
17004 Destruction of precancer skin growth, 15 or more growths	74	55	$734.31	$149.38
99202 New patient office or other outpatient visit, typically 20 minutes	63	63	$223.46	$72.02
11103 Biopsy of related skin growth, each additional growth	53	36	$154.71	$48.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	14	$16.33	$1.48
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	48	46	$1045.56	$144.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$291.03	$102.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	35	$147.53	$42.85
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	39	35	$1781.35	$376.51
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	33	25	$465.28	$390.29
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	33	25	$495.00	$121.33
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	31	31	$2438.57	$234.25
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	27	$854.43	$248.62
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	26	$759.41	$174.85
69100 Biopsy of ear	20	18	$677.59	$74.24
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	19	$617.67	$89.49
11900 Injection into skin growth, 1-7 growths	18	15	$201.78	$39.02
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	14	$1649.62	$281.26
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$936.14	$118.15
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	13	12	$781.58	$160.88
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$864.31	$187.54
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$1201.37	$297.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,565	506	$73.88	$5.14
17000 Destruction of skin growth	895	628	$303.63	$51.55
99213 Established patient office or other outpatient visit, typically 15 minutes	856	636	$188.52	$69.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	335	304	$273.20	$101.79
11102 Tangential biopsy of single skin lesion	218	193	$286.83	$85.12
17110 Destruction of up to 14 skin growths	169	156	$341.58	$100.84
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	118	93	$2847.56	$612.50
17004 Destruction of precancer skin growth, 15 or more growths	112	73	$734.31	$140.74
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	100	82	$2353.69	$231.48
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$223.46	$71.41
11103 Biopsy of related skin growth, each additional growth	50	31	$154.71	$46.78
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	50	35	$465.28	$391.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$291.03	$101.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	46	$147.53	$42.00
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	45	42	$695.89	$158.16
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	43	35	$495.00	$111.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	38	14	$16.33	$1.62
69100 Biopsy of ear	22	21	$677.59	$72.38
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	17	$759.41	$169.60
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	19	17	$1718.65	$365.68
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	17	15	$781.58	$149.26
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	15	$1649.62	$320.02
11900 Injection into skin growth, 1-7 growths	14	14	$201.78	$44.99
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$936.14	$123.33
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$854.43	$281.57
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	13	13	$258.55	$89.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,000	13	$1.97	$1.41
17003 Destruction of precancer skin growth, 2-14 growths	3,634	528	$45.68	$4.61
17000 Destruction of skin growth	868	623	$185.63	$48.18
99213 Established patient office or other outpatient visit, typically 15 minutes	755	597	$136.01	$65.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	468	398	$203.35	$97.12
17110 Destruction of up to 14 skin growths	301	269	$218.78	$98.21
11100 Biopsy of single growth of skin and/or tissue	233	207	$225.64	$85.49
17004 Destruction of precancer skin growth, 15 or more growths	111	83	$561.59	$127.99
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	97	90	$1000.00	$562.18
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	67	66	$817.01	$231.94
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$141.82	$66.80
11101 Biopsy of each additional growth of skin and/or tissue	54	33	$122.75	$29.30
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	54	46	$470.48	$145.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	46	19	$7.16	$1.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	44	$94.41	$39.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$217.58	$96.17
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	34	33	$963.98	$290.68
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	25	18	$292.20	$98.95
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	24	21	$590.00	$336.77
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	20	$457.78	$166.44
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	19	19	$786.82	$304.44
11900 Injection into skin growth, 1-7 growths	18	16	$103.72	$37.40
69100 Biopsy of ear	17	15	$360.77	$60.72
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$810.49	$127.63
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	11	11	$846.00	$220.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,065	568	$23.00	$4.63
17000 Destruction of skin growth	982	701	$100.00	$43.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	688	545	$145.00	$91.56
99213 Established patient office or other outpatient visit, typically 15 minutes	638	513	$98.00	$61.88
17110 Destruction of up to 14 skin growths	475	403	$133.84	$91.06
11100 Biopsy of single growth of skin and/or tissue	200	182	$156.00	$77.95
17004 Destruction of precancer skin growth, 15 or more growths	109	81	$430.00	$126.40
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	94	84	$1000.00	$524.37
99202 New patient office or other outpatient visit, typically 20 minutes	93	93	$101.00	$63.65
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	55	32	$157.00	$110.30
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	41	40	$209.00	$147.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	35	$59.00	$36.91
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	35	24	$590.00	$325.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$148.00	$90.89
11101 Biopsy of each additional growth of skin and/or tissue	34	26	$49.00	$27.71
J3490 Unclassified drugs	31	20	$350.00	$265.48
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	29	28	$741.00	$207.23
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	24	17	$521.46	$329.33
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	21	$460.00	$229.80
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	19	$211.00	$150.62
10040 Acne surgery	19	19	$146.47	$70.52
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	19	19	$406.00	$123.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	17	16	$8.29	$1.77
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	16	15	$229.00	$156.00
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$239.00	$163.28
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	14	14	$439.00	$147.52
11900 Injection into skin growth, 1-7 growths	13	13	$66.00	$36.05
69100 Biopsy of ear	13	11	$139.00	$71.53
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$250.92	$69.44
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	11	11	$590.00	$260.76

Medical Specialties & State Licenses

CMS Verified: 2023-12-29

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AL MD.18113

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Specialist

NUCC Taxonomy Code: 174400000X

State License AL 00018113

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License AL 18113

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License AL MD.18113

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Jane Blaum , MD

Specialist

NPI 1063630143

Doctor of Medicine (M.D.)

Kellie Toth , PHYSICIAN ASSISTANT

Physician Assistant

NPI 1316029630

PHYSICIANASSISTANT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2023

Specialist (License #00018113 in AL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2021

Dermatology (License #MD.18113 in AL)

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Updated Business Mailing Address January 17, 2019

Registered at 801 YORK ST, MANITOWOC, WI 542204630

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Updated Practice Location August 01, 2018

Registered at 8573 COUNTY ROAD 64, DAPHNE, AL 36526 (Tel: 2516212244)

✅

NPI Profile Active May 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 03, 2017

Registered at 8573 COUNTY ROAD 64, DAPHNE, AL 365268706 (Tel: 2516212244)

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Updated Business Mailing Address May 03, 2017

Registered at 580 PROVIDENCE PARK DR E, 2ND FLOOR, MOBILE, AL 366954614 (Tel: 2516313570)

👤

Provider Name / Credentials Updated May 03, 2017

Recorded as ALAN STANFORD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2017

Specialist (License #00018113 in AL)

📍

Updated Business Mailing Address January 31, 2017

Registered at 580 PROVIDENCE PARK DR E, 2ND FLOOR, MOBILE, AL 366954614 (Tel: 2516313570)

✅

NPI Profile Active September 11, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 11, 2008

Registered at 8573 COUNTY ROAD 64, DAPHNE, AL 365268706 (Tel: 2516212244)

📍

Updated Business Mailing Address September 11, 2008

Registered at PO BOX 40, DAPHNE, AL 365260040 (Tel: 2516212244)

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Provider Name / Credentials Updated September 11, 2008

Recorded as ALAN STANFORD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2008

Specialist (License #00018113 in AL)

🟢

Initial NPI Registration & Enumeration April 13, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871557348

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 13, 2006

Last Update: December 29, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 York St

Manitowoc, WI 542204630

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.