CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY


Address: 510 S Cowley St Ste 201, Spokane, WA 99202-1332
Phone: 5092521299

CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY (NPI# 1073146734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073146734
Entity Type Organization
Organization Name CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY
Practice Address 510 S Cowley St Ste 201
Spokane
WA 99202-1332
Practice Telephone 5092521299
Enumeration Date 2020-02-20
Last Update Date 2020-03-18
Authorized Official Name MR. GRAYLING LOVE II (C.O.O.)
Authorized Official Telephone 6782162718
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208200000X Plastic Surgery Allopathic & Osteopathic Physicians
N 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
Allopathic & Osteopathic Physicians
N 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians
N 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
Allopathic & Osteopathic Physicians
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians
N 207YX0905X Otolaryngology
Specialization: Otolaryngology/Facial Plastic Surgery
Allopathic & Osteopathic Physicians
N 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
Allopathic & Osteopathic Physicians
N 207YX0007X Otolaryngology
Specialization: Plastic Surgery within the Head & Neck
Allopathic & Osteopathic Physicians
N 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT 1598181828 05
IL 1285830166 05
WA 1952636672 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063935286 Chesnut Institute of Cosmetic & Reconstructive Surgery Dermatology 510 S Cowley St, Spokane, WA 99202-1332 2017-07-19

Office Location

Street Address 510 S COWLEY ST STE 201
City SPOKANE
State WA
Zip Code 99202-1332

Providers in the same zip code

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 Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1063935286 Chesnut Institute of Cosmetic & Reconstructive Surgery Dermatology 510 S Cowley St, Spokane, WA 99202-1332 2017-07-19
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
Find all providers in SPOKANE

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City SPOKANE
Zip Code 99202

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Dataset Information

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.

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