DERMATOLOGY ASSOCIATES OF SEATTLE PS (NPI# 1154853703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154853703 |
Entity Type | Organization |
Organization Name | DERMATOLOGY ASSOCIATES OF SEATTLE PS |
Other Organization Name | DERMATOLOGY ASSOCIATES OF SEATTLE |
Practice Address |
1730 Minor Ave Suite 1000 Seattle WA 98101-1498 |
Practice Telephone | 2062672100 |
Practice Fax Number | 2062672101 |
Mailing Telephone | 2062672100 |
Mailing Fax Number | 2062672101 |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |
Authorized Official Name | PETER J JENKIN (OWNER) |
Authorized Official Telephone | 2062672100 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD00037526 | WA | Allopathic & Osteopathic Physicians |
N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
MD00037526 | WA | Allopathic & Osteopathic Physicians |
Y | 207N00000X | Dermatology | MD00037526 | WA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Dermatology Associates of Seattle | Doing Business As Name - Organization |
Street Address |
1730 MINOR AVE SUITE 1000 |
City | SEATTLE |
State | WA |
Zip Code | 98101-1498 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285681254 | Ann Marie Branchaud | Psychiatry & Neurology | 1730 Minor Ave, Suite 1400, Seattle, WA 98101-1404 | 2006-05-27 |
1184027906 | Laura Reding | Counselor | 1730 Minor Ave, Seattle, WA 98101-1404 | 2014-10-07 |
1265862338 | Susan Lynn Grunert | Counselor | 1730 Minor Ave, Suite 1140, Seattle, WA 98101 | 2013-11-26 |
1649546805 | Holly Holbrooks-kuratek | Psychiatry & Neurology | 1730 Minor Ave, Seattle, WA 98101-1498 | 2012-03-31 |
1528348125 | Rebecca Stacy Rosenthal | Social Worker | 1730 Minor Ave, 14th Floor, Seattle, WA 98101-1498 | 2011-08-26 |
1740571710 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 1730 Minor Ave, Seattle, WA 98101-1404 | 2011-04-26 |
1346449568 | Theresa L Shea | Physician Assistant | 1730 Minor Ave, #1600, Seattle, WA 98101-1498 | 2007-07-17 |
1104037514 | Gina M. Mower | Physician Assistant | 1730 Minor Ave, Suite 1000, Seattle, WA 98101-1498 | 2007-05-25 |
1902019201 | Benjamin H.k. Balderson | Psychologist | 1730 Minor Ave, Suite 1400, Seattle, WA 98101-1498 | 2007-05-07 |
1598986481 | Nancy Ellen Dorn | Nurse Practitioner | 1730 Minor Ave, Suite 1600, Seattle, WA 98101-1448 | 2007-05-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
Find all providers in zip 98101 |
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 |
---|---|---|---|---|
1093158305 | Erica Shantha Tarabadkar | Dermatology | 850 Republican Street, Brotman Room 242, Uw Medical Center At Lake Union, Seattle, WA 98109 | 2013-04-17 |
1578839494 | Carolina Andrea Simunovic | Dermatology | 1959 Ne Pacific St Rm Bb-1353, Box 356524, Seattle, WA 98195-6524 | 2012-03-25 |
1184999260 | April Schachtel | Dermatology | 1660 S Columbian Way Va Puget Sound Health Care System, General Internal Medicine Clinic, Seattle, WA 98108 | 2012-03-21 |
1831362045 | James Hu Md PC | Dermatology | 1229 Madison St Ste 830, Seattle, WA 98104-3539 | 2008-04-09 |
1437277993 | James Hu | Dermatology | 1229 Madison St - Ste #830, Seattle, WA 98104-3579 | 2007-03-26 |
1497884506 | Roy Mitchell Colven | Dermatology | 325 9th Ave, Dermatology Section, Seattle, WA 98115 | 2007-03-05 |
1164585600 | Gerald Bernstein | Dermatology | 11011 Meridian Av North, Suite 102, Seattle, WA 98133 | 2006-12-18 |
1720170723 | Jettie M Person | Dermatology | 3834 49th Ave Ne, Seattle, WA 98105-5234 | 2006-09-28 |
1164533048 | James Corydon Vary Jr. | Dermatology | Box 354697, 4225 Roosevelt Way Ne - 4th Floor, Seattle, WA 98105 | 2006-08-31 |
1033127717 | Ardeth Lazz Dunne | Dermatology | 1730 Minor Avenue, Ste 1000 Dermatology Associates Pllc, Seattle, WA 98101-1498 | 2006-08-04 |
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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.