PACIFIC DERMATOLOGY P.C. (NPI# 1528289063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528289063 |
| Entity Type | Organization |
| Organization Name | PACIFIC DERMATOLOGY P.C. |
| Practice Address |
15613 Se Mill Plain Blvd Vancouver WA 98684-8905 |
| Practice Telephone | 3608342000 |
| Mailing Telephone | 3608342000 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-12-10 |
| Authorized Official Name | DR. BASHEER A. BADIEI (PRESIDENT) |
| Authorized Official Telephone | 3608342000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
15613 SE MILL PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| 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 |
|---|---|---|---|---|
| 1629694864 | Fishers Landing Internal Medicine | Dermatology | 1405 Se 164th Ave Ste 101, Vancouver, WA 98683-9644 | 2020-06-23 |
| 1922253319 | Henrik Martens | Dermatology | 324 W 36th St, Vancouver, WA 98660-1938 | 2008-11-26 |
| 1598842544 | Michele Mckee Thompson | Dermatology | 1499 Se Tech Center Pl, Ste 135, Vancouver, WA 98683-5529 | 2006-11-01 |
| 1922456078 | Sarah Anne Kam | Dermatology | 2525 Ne 139th St Ste 240, Vancouver, WA 98686-2719 | 2016-05-31 |
| 1851751283 | Michele M Thompson Md LLC | Dermatology | 1499 Se Tech Center Pl, Ste 135, Vancouver, WA 98683-5528 | 2016-02-26 |
| 1114153459 | Viet Quoc Nguyen | Dermatology | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2009-06-01 |
| 1437319423 | Katherine Leslie Boyd | Dermatology | 501 Se 172nd Ave, Suite 250, Vancouver, WA 98684-9542 | 2008-06-12 |
| 1760676910 | Elizabeth Sims Dawson | Dermatology | 8614 E Mill Plain Blvd, Suite 400, Vancouver, WA 98664-2059 | 2007-08-30 |
| 1861684581 | Graham Scott Clark | Dermatology | 2525 Ne 139th St, Ste 240, Vancouver, WA 98686-2719 | 2007-08-16 |
| 1831279629 | Jason Boyd | Dermatology | 2525 Ne 139th St, # 240, Vancouver, WA 98686-2719 | 2006-10-16 |
| Find all providers in VANCOUVER | ||||
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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.