OrganizationActive
Live Oak Dermatology PC
NPI 1609654466 · MOHS-Micrographic Surgery Physician · Fairview, PA
Provider details
- NPI number
- 1609654466
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Zaycosky, Owner(814) 413-7997
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
7176 W Ridge Rd
Fairview, PA 16415-2027
Phone: (814) 413-7997
Fax: (814) 413-7998
Street-level locationGet directions
Mailing address
7176 W Ridge Rd
Fairview, PA 16415-2027
Additional practice locations (1)
- 118 E Plum StEdinboro, PA 16412-2252Phone: (814) 413-7997Fax: (814) 413-7998
Registry dates
- Enumerated
- 2023-09-21
- Last updated
- 2025-01-30
- Certified
- 2025-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.