DERMATOLOGY ASSOCIATES OF SEATTLE PS


Address: 1730 Minor Ave, Suite 1000, Seattle, WA 98101-1498
Phone: 2062672100

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Dermatology Associates of Seattle Doing Business As Name - Organization

Office Location

Street Address 1730 MINOR AVE
SUITE 1000
City SEATTLE
State WA
Zip Code 98101-1498

Providers in the same location

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
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Providers in the same zip code

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
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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
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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City SEATTLE
Zip Code 98101

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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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