MARVIN J SCOTVOLD (NPI# 1528154713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528154713 |
| Entity Type | Individual |
| Full Name | MARVIN J SCOTVOLD |
| Practice Address |
602 E Nob Hill Blvd Yakima WA 98901-3534 |
| Practice Telephone | 5092483334 |
| Practice Fax Number | 5094536144 |
| Mailing Telephone | 5092483334 |
| Mailing Fax Number | 5094536144 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD00009476 | WA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD00009476 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMERCIAL | 911019392 | 01 | |
| WA | REGENCE | 9390SC | 01 |
| WA | L & I | 44501 | 01 |
| WA | 8372302 | 05 | |
| WA | CHPW | 8372302 | 01 |
| GROUP HEALTH | 4963 | 01 |
| Street Address |
602 E NOB HILL BLVD |
| City | YAKIMA |
| State | WA |
| Zip Code | 98901-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265464523 | Joseph Keel | Family Medicine | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2006-07-07 |
| 1366054488 | Claire Tindula | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2020-08-19 |
| 1780295980 | Eliza Thompson | Family Medicine | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2020-08-11 |
| 1538781851 | Zachary Assink | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2020-05-08 |
| 1629616925 | Jennifer Cortes-klein | Registered Nurse | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2019-12-17 |
| 1306488424 | Karissa Marie Sanchez | Registered Nurse | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2019-10-09 |
| 1841845039 | Farah Jn Baptiste | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2019-08-05 |
| 1578123162 | Lauren Waski | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2019-06-17 |
| 1023673209 | Scott Barlow | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2019-05-03 |
| 1841762481 | Rachael Cleghorn | Physician Assistant | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2018-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162998 | China Nwachukwu | Pharmacist | Buter-haney Hall, 200 University Pkwy, Yakima, WA 98901 | 2020-07-30 |
| 1760959290 | Conswaylo Ann Fleek | Counselor | 120 S. 3rd Ave., Yakima, WA 98901 | 2018-11-02 |
| 1396212718 | Nancy Fraser | Counselor | 120 S. 3rd Street, Yakima, WA 98901 | 2018-10-24 |
| 1386129021 | John Scott | Student in an Organized Health Care Education/Training Program | Pacific Northwest University of Health Sciences, 111 University Parkway, Suite 202, Yakima, WA 98901 | 2018-09-28 |
| 1679051387 | Toni Christine Fogli | Counselor | 2280 Ste. Rte. 821, Yakima, WA 98901 | 2018-08-03 |
| 1043798267 | Amber Ann Couture | Counselor | 2280 Wa-821, Yakima, WA 98901 | 2018-07-31 |
| 1992201982 | Etienne Galbreath | Student in an Organized Health Care Education/Training Program | Butler-haney Hall, 200 University Pkwy, Yakima, WA 98901 | 2018-03-30 |
| 1619490737 | Christine M Armijo | Massage Therapist | 1001 University Parkway, Yakima, WA 98901 | 2017-07-20 |
| 1366970048 | Jose Antonio Mendoza | Dentist | 12 S 8t Hst, Yakima, WA 98901 | 2017-05-25 |
| 1982156501 | David Burkett | Counselor | 315 N. 2nd Street, Yakima, WA 98901 | 2016-10-31 |
| Find all providers in zip 98901 | ||||
| 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 |
|---|---|---|---|---|
| 1417048752 | Donald Michael Pehlke | Dermatology | 1111 W Spruce, Suite 24, Yakima, WA 98902 | 2006-09-28 |
| 1154432904 | Kirk Torgle Ecklund | Dermatology | 3911 Castlevale Rd, Ste 301, Yakima, WA 98902-7807 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694864 | Fishers Landing Internal Medicine | Dermatology | 1405 Se 164th Ave Ste 101, Vancouver, WA 98683-9644 | 2020-06-23 |
| 1417599374 | Dermatology Solutions | Dermatology | 8503 W Clearwater Ave Ste B, Kennewick, WA 99336-3100 | 2019-10-11 |
| 1588164925 | Northwest Pediatric Dermatology, Pllc | Dermatology | 703 Lilly Rd Ne Ste 105, Olympia, WA 98506-5191 | 2018-02-12 |
| 1255858247 | Ame Phitwong | Dermatology | 21727 76th Ave W Ste H, Edmonds, WA 98026-7549 | 2017-08-29 |
| 1467879320 | Jayasri Iyer | Dermatology | 9924 Ne 185th St Ste 215, Bothell, WA 98011-3504 | 2014-03-27 |
| 1164869459 | Kaley Myer | Dermatology | 304 W Bay Dr Nw Ste 301, Olympia, WA 98502-4957 | 2013-05-28 |
| 1093158305 | Erica Shantha Tarabadkar | Dermatology | 850 Republican Street, Brotman Room 242, Uw Medical Center At Lake Union, Seattle, WA 98109 | 2013-04-17 |
| 1871835322 | Jason Lee Meeker | Dermatology | 2622 S. Meridian, Puyallup, WA 98373-1500 | 2013-03-22 |
| 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 |
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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.