CHADD SUKUT (NPI# 1467673061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467673061 |
| Entity Type | Individual |
| Full Name | CHADD SUKUT |
| Credential | MD |
| Practice Address |
1807 N Hutchinson Rd Spokane Valley WA 99212-2444 |
| Practice Telephone | 5094567414 |
| Practice Fax Number | 5096240763 |
| Mailing Telephone | 5094567414 |
| Mailing Fax Number | 5096240763 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2012-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 125-051629 | IL | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
036-125576 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1807 N HUTCHINSON RD |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99212-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184699365 | Joel K Sears | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-02-21 |
| 1619517539 | Mountain West Derm - Blackhart Pllc | Clinic/Center | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2020-01-08 |
| 1013557933 | Mountain West Derm - Blackhart Pllc | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2020-01-08 |
| 1477853760 | Thomas M Ryan, Md | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2010-11-02 |
| 1710213558 | Kathleen R Lejameyer | Nurse Practitioner | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2009-10-29 |
| 1154408631 | Elizabeth Joan Jacobsen | Physician Assistant | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-11-01 |
| 1215023007 | Andrea Mead Dominey | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-10-05 |
| 1689636649 | Jeanne M Ellern | Physician Assistant | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-04-05 |
| 1972579845 | Advanced Dermatology and Skin Surgery Pllc | Clinical Medical Laboratory | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-02-28 |
| 1881660751 | Advanced Dermatology and Skin Surgery, Pllc | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889580 | Melissa Lerai Lunsford | Massage Therapist | 1212 N Argonne Rd, Spokane Valley, WA 99212 | 2018-01-26 |
| 1225558539 | Paul James Hammerschmidt | Licensed Practical Nurse | 5600 E. 8th Avenue, Spokane Valley, WA 99212 | 2017-06-27 |
| 1497009302 | Ray A Schoessler | Pharmacist | 9009 E Trent Ave, Spokane, WA 99212 | 2012-10-30 |
| 1215205224 | Wchs Inc | Counselor | 4305 East Trent Avenue, Spokane, WA 99212 | 2011-12-05 |
| 1609159466 | Andrey V Altukhov | Specialist | 906 S. Park Rd, Spokane Valley, WA 99212 | 2011-09-27 |
| 1215189808 | Providence Health & Services - Wa | Home Health | 1000 N Argonne Rd, Spokane Valley, WA 99212 | 2008-10-15 |
| 1568674414 | Colleen Kirsten Monroe | Pharmacist | 5601 E Sprague, Spokane, WA 99212 | 2007-05-04 |
| 1205968534 | Jeremiah Michael Stevens | Naturopath | 1510 N Argonne Rd Ste G, Spokane Valley, WA 99212 | 2007-03-12 |
| 1104957547 | Lyudmila Larkin | Specialist | 8120 E. Vista Lane, Spokane, WA 99212 | 2007-03-08 |
| 1972613511 | Costco Wholesale Corporation | Pharmacy | 5601 E Sprague Ave, Spokane Valley, WA 99212 | 2006-08-30 |
| Find all providers in zip 99212 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598137820 | M J Doherty Pllc | Dermatology | 1151 Ellis St # 202, Bellingham, WA 98225-5203 | 2015-10-26 |
| 1679975486 | Wesley Wu | Dermatology | 1660 S Columbian Way Bldg 18241b, Seattle, WA 98108-1532 | 2014-09-24 |
| 1831387489 | Yakima Valley Dermatology Inc Ps | Dermatology | 3911 Castlevale Rd Ste 301, Yakima, WA 98902-7807 | 2007-10-09 |
| 1235217951 | Jack E. Sebben | Dermatology | 1229 Madison St Ste 1480, Seattle, WA 98104-3538 | 2006-11-01 |
| 1669422994 | Craig Steven Birkby | Dermatology | 1229 Madison Street, Suite 1090, Seattle, WA 98104 | 2006-05-10 |
| 1265498901 | Fa Abigail De Imus | Dermatology | 3726 Colby Ave, Everett, WA 98201-4911 | 2006-04-21 |
| 1700848355 | Justin H Piasecki | Dermatology | 11511 Canterwood Blvd Ste 310, Gig Harbor, WA 98332-5820 | 2006-04-06 |
| 1336129154 | Sidney F Whaley Jr | Dermatology | 314 Mlk Jr Wy #210, Tacoma, WA 98405-4271 | 2006-01-18 |
| 1669070918 | Tri-city Dermatology Pllc | Dermatology | 112 Columbia Point Dr Ste 105, Richland, WA 99352-4390 | 2020-10-09 |
| 1710443619 | Skin Surgery Clinic | Dermatology | 1414 116th Ave Ne Ste D, Bellevue, WA 98004-3801 | 2019-02-15 |
| Find all providers with the same taxonomy | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99212 |
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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.