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Active NPI 1528093861 Individual Practitioner Male Practitioner

Dr. John Lawrence Headley , MD

Dermatology - MOHS-Micrographic Surgery • Edmonds, WA

Professional Overview & Biography Verified Profile Summary

Dr. John Headley, MD is a registered healthcare professional specializing in Dermatology - MOHS-Micrographic Surgery in Edmonds, WA. Practice services are available at 21600 HIGHWAY 99 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21600 Highway 99
#280

Edmonds, WA 980268012

Telephone 4257742616
Fax 4257742660
Associated Practice Facility / Clinic
🏢 Kauffmans Pharmacy, Inc Facility NPI 1578612347

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Edmonds, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 21.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Edmonds, WA (46 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License WA MD00018010

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1030683 (WA)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Laurie Jacobson , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1043235492

Doctor of Medicine (M.D.)

Druska Salisbury-Milan , PA-C

Physician Assistant - Medical

NPI 1275569980

Physician Assistant (Certified)

Jessica King , PA-C

Physician Assistant

NPI 1528000759

Physician Assistant (Certified)

Preston Lehr , PA-C

Physician Assistant

NPI 1710176508

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 21600 HIGHWAY 99, #280, EDMONDS, WA 980268012 (Tel: 4257742616)

📍
Updated Business Mailing Address July 08, 2007

Registered at 21600 HIGHWAY 99, #280, EDMONDS, WA 980268012 (Tel: 4257742616)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN HEADLEY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dermatology (License #MD00018010 in WA)

🟢
Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528093861
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

21600 Highway 99, #280

Edmonds, WA 980268012

Phone: 4257742616

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.