Advanced Dermatology and Skin Cancer Center, PA
NPI 1124094867 · Dermatology Physician · Manhattan, KS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Dermatology and Skin Cancer Center, PA is a Dermatology Physician organization in Manhattan, KS (NPI 1124094867).
Provider details
- NPI number
- 1124094867
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Adams, President(785) 537-4990
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Emporia Dermatology and Skin Cancer Center LLC
- Other name
- Premier Dermatology & Mohs Surgery Center
Additional practice locations (6)
- 2509 W 18th AveEmporia, KS 66801-6105Phone: (620) 341-9335Fax: (620) 208-9335
- 210 W 13th StOttawa, KS 66067-3545Phone: (785) 521-7111Fax: (620) 208-9335
- 1015 Elmhurst BlvdSalina, KS 67401-7403Phone: (785) 376-6400Fax: (785) 914-5054
- 820 N Webb Rd Ste 104Grand Island, NE 68803-3325Phone: (308) 384-0133Fax: (402) 484-6253
- 747 N Burlington Ave Ste 312Hastings, NE 68901-4478Phone: (402) 462-4872Fax: (402) 484-6253
- 2908 W 39th St Ste DKearney, NE 68845-1245Phone: (370) 270-1100
Registry dates
- Enumerated
- 2006-02-23
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Frequently asked questions
- What is Advanced Dermatology and Skin Cancer Center, PA's NPI number?
- Advanced Dermatology and Skin Cancer Center, PA's National Provider Identifier (NPI) is 1124094867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dermatology and Skin Cancer Center, PA?
- Advanced Dermatology and Skin Cancer Center, PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Dermatology and Skin Cancer Center, PA located?
- Advanced Dermatology and Skin Cancer Center, PA's practice location on file with NPPES is 2735 Pembrook Pl, Manhattan, KS 66502-7482.
- What is Advanced Dermatology and Skin Cancer Center, PA's phone number?
- The practice phone number listed in the NPPES registry for Advanced Dermatology and Skin Cancer Center, PA is (785) 537-4990.
- Does Advanced Dermatology and Skin Cancer Center, PA accept Medicare?
- Advanced Dermatology and Skin Cancer Center, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Dermatology and Skin Cancer Center, PA?
- The authorized official listed on Advanced Dermatology and Skin Cancer Center, PA's NPPES record is John Adams, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dermatology and Skin Cancer Center, PA's NPI active?
- Yes — Advanced Dermatology and Skin Cancer Center, PA's NPI (1124094867) is active in the NPPES registry as of the last update on 2023-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.