Individual provider · Type 1 NPI

Mark A. Russell

MOHS-Micrographic Surgery Physician · Charlottesville, VA

NPI number 1982773529 Active

Practice location

1221 Lee St
Charlottesville, VA 22908-0001

Call (434) 924-5115 Map

Fax (434) 244-4504

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice locations

  • 1215 Lee St, Charlottesville, VA 22908-0001 · (434) 924-0211

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X0101230382 (VA)
MOHS-Micrographic Surgery Physician Primary 207ND0101X0101230382 (VA)

MOHS-Micrographic Surgery Physician: 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…

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About NPI 1982773529

Mark A. Russell's National Provider Identifier is 1982773529, issued on Nov 7, 2006. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Charlottesville, VA. The record was last updated on Sep 2, 2025.