ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC – NPI #1710952882
Clinic/Center

ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC is an AHC clinic located in SPOKANE VALLEY, WA. NPPES has assigned the NPI number 1710952882 to ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC on February 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 8 years ago on Apr 26, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC below.

NPI Profile for
ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC

NPI Number
1710952882
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC
Primary location
1807 N HUTCHINSON RD
SPOKANE VALLEY, WA 99212-2444
Phone: (509) 456-7414 Fax: (509) 624-0763
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOEL SEARS
MEDICAL DIRECTOR
Phone: (509) 456-7414
Updated
Identifiers

Identifiers for ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICAREWAP00114626
MEDICAIDWA7084197
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
ID

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.