CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY (NPI# 1063935286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063935286 |
| Entity Type | Organization |
| Organization Name | CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY |
| Practice Address |
510 S Cowley St Spokane WA 99202-1332 |
| Practice Telephone | (208) 640-1488 |
| Mailing Telephone | 2086401488 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-10-13 |
| Authorized Official Name | DR. CAMERON CHESNUT (PRESIDENT / OWNER) |
| Authorized Official Telephone | 2086401488 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146734 | Chesnut Institute of Cosmetic & Reconstructive Surgery | Plastic Surgery | 510 S Cowley St Ste 201, Spokane, WA 99202-1332 | 2020-02-20 |
| Street Address |
510 S COWLEY ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363911 | Cynthia L Cilyo | Ophthalmology | 510 S Cowley St, Spokane, WA 99202-1332 | 2005-08-15 |
| 1437798568 | Chesnut Md | Dermatology | 510 S Cowley St, Spokane, WA 99202-1332 | 2020-01-06 |
| 1639565872 | Lindsey Goddard | Dermatology | 510 S Cowley St, Spokane, WA 99202-1332 | 2015-04-14 |
| 1932508645 | Rockwood Clinic Ps | Eyewear Supplier (Equipment, not the service) | 510 S Cowley St, Spokane, WA 99202-1332 | 2014-08-19 |
| 1366704959 | Mark William Nevers | Optometrist | 510 S Cowley St, Spokane, WA 99202-1332 | 2012-06-11 |
| 1699065052 | Robert Udell Glazier Jr. | Ophthalmology | 510 S Cowley St, Spokane, WA 99202-1332 | 2011-04-19 |
| 1457659047 | Heidi Waldburga Eiseman | Ophthalmology | 510 S Cowley St, Spokane, WA 99202-1332 | 2011-03-04 |
| 1811206998 | Kenneth Absalonson | Optometrist | 510 S Cowley St, Spokane, WA 99202-1332 | 2010-10-06 |
| 1639480692 | Christopher Kenneth Yang | Internal Medicine | 510 S Cowley St, Spokane, WA 99202-1332 | 2010-06-24 |
| 1033320817 | Neal J. Peterson | Ophthalmology | 510 S Cowley St, Spokane, WA 99202-1332 | 2007-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
| 1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
| 1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
| 1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508955287 | Steven L. Dixon | Dermatology | 59 E Queen Ave, Suite 102, Spokane, WA 99207-1430 | 2006-10-12 |
| 1750394227 | Drew Aubrey Reese | Dermatology | 324 S Sherman St, Spokane, WA 99202-1461 | 2006-08-14 |
| 1164401444 | Benjamin Hsu | Dermatology | 757 E Holland Ave, Northwest Dermatology, Spokane, WA 99218-1257 | 2006-01-13 |
| 1992348619 | Dermatology Clinic of Spokane, P.c | Dermatology | 309 E Farwell Rd Ste 206, Spokane, WA 99218-8208 | 2019-10-25 |
| 1639565872 | Lindsey Goddard | Dermatology | 510 S Cowley St, Spokane, WA 99202-1332 | 2015-04-14 |
| 1942695192 | Ashley Lundgren | Dermatology | 101 W 8th Ave, Spokane, WA 99204-2307 | 2015-04-04 |
| 1952636672 | Cameron Chesnut | Dermatology | 820 S Mcclellan St, Suite 426, Spokane, WA 99204-2457 | 2009-10-14 |
| 1396919569 | Katherine Bruya Reed | Dermatology | 820 S Mcclellan St, Suite 426, Spokane, WA 99204-2457 | 2008-04-17 |
| 1912179599 | Dermatology Specialists of Spokane | Dermatology | 820 S Mcclellan St, Suite 426, Spokane, WA 99204-2457 | 2008-03-24 |
| 1023119682 | William Philip Werschler | Dermatology | 104 W 5th Ave, 330w, Spokane, WA 99204-4880 | 2006-09-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.