SOUND DERMATOLOGY AND SKIN SURGERY PLLC (NPI# 1538386990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538386990 |
| Entity Type | Organization |
| Organization Name | SOUND DERMATOLOGY AND SKIN SURGERY PLLC |
| Other Organization Name | WOODINVILLE DERMATOLOGY CENTER |
| Practice Address |
17000 140th Ave Ne Suite 206 Woodinville WA 98072-6928 |
| Practice Telephone | 4254857985 |
| Practice Fax Number | 4254832375 |
| Mailing Telephone | 4254857985 |
| Mailing Fax Number | 4254832375 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | DR. JAMES H PETRIN (OWNER) |
| Authorized Official Telephone | 4254857985 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | MD00035810 | WA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8228371 | 05 |
| Other Name | Type Code |
|---|---|
| Woodinville Dermatology Center | Doing Business As Name - Organization |
| Street Address |
17000 140TH AVE NE SUITE 206 |
| City | WOODINVILLE |
| State | WA |
| Zip Code | 98072-6928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589772 | Gene E. Graff | Specialist | 17000 140th Ave Ne, Unit 206, Woodinville, WA 98072-6928 | 2005-06-23 |
| 1386091619 | Elizabeth Neuzil | Pediatrics | 17000 140th Ave Ne, Woodinville, WA 98072-6928 | 2016-05-17 |
| 1932554854 | Woodinville Pediatrics | Home Health | 17000 140th Ave Ne, Woodinville, WA 98072-6928 | 2016-04-28 |
| 1730529447 | Youngjae Yoon Dmd Pllc | Clinic/Center | 17000 140th Ave Ne, #201, Woodinville, WA 98072-6928 | 2013-06-26 |
| 1487988580 | Kathleen L Mckay | Dentist | 17000 140th Ave Ne, 202, Woodinville, WA 98072-6928 | 2009-09-23 |
| 1033363221 | Youngjae Yoon | Dentist | 17000 140th Ave Ne, #201, Woodinville, WA 98072-6928 | 2008-11-14 |
| 1053578930 | Melissa Lynn Kindahl | Nurse Practitioner | 17000 140th Ave Ne, Suite 102, Woodinville, WA 98072-6928 | 2008-05-19 |
| 1487823597 | Proliance Surgeons, Inc., P.s. | Otolaryngology | 17000 140th Ave Ne, Suite 205, Woodinville, WA 98072-6928 | 2008-02-22 |
| 1699962670 | Rama Oskouian, Dmd, Pllc | Dentist | 17000 140th Ave Ne, Suite 302, Woodinville, WA 98072-6928 | 2007-10-03 |
| 1649466020 | Janet Martha Ford | Family Medicine | 17000 140th Ave Ne, # 101, Woodinville, WA 98072-6928 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832466 | Optum Infusion Services 501 Inc | Durable Medical Equipment & Medical Supplies | 8131 West Bostian Road, Suite A345, Woodinville, WA 98072 | 2019-10-15 |
| 1326511973 | Charyle Rae Tasanasanta | Massage Therapist | 17311 Ne 175th Ave, Building C, Suite 100, Woodinville, WA 98072 | 2019-01-07 |
| 1508360868 | Nitin Thapa | Naturopath | 14221 Ne 181st Pl Apt P203, Woodinville, WA 98072 | 2018-03-21 |
| 1588189963 | Sally Winkel | Occupational Therapist | 17311 135 Ave Ne, Suite C200, Woodinville, WA 98072 | 2017-08-07 |
| 1548783848 | Matt Clute | Chiropractor | 13110 Ne 177th Pl #1005, Woodinville, WA 98072 | 2017-07-19 |
| 1427506294 | Bobbi Arnold | Physical Therapy Assistant | 17918 Ne 157th Street, Woodinville, WA 98072 | 2016-09-21 |
| 1194175208 | Yu Yuan Zhang | Optometrist | 24008 Woodinville-snohomish Rd, Woodinville, WA 98072 | 2016-06-20 |
| 1093171357 | Anne Cahanin | Counselor | 17220 127th Pl Ne Ste 101, Woodinville, WA 98072 | 2016-01-01 |
| 1710365754 | Alexandra Castro | Pharmacist | 16427 Ne 145th St, Woodinville, WA 98072 | 2015-05-11 |
| 1649679911 | Susan Lewis | Nutritionist | 17924 140th Ave Ne Ste 230, Woodinville, WA 98072 | 2014-08-22 |
| Find all providers in zip 98072 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225529407 | Mitchell International, Inc. | Preferred Provider Organization | 1301 5th Ave Ste 2900, Seattle, WA 98101-2644 | 2018-05-23 |
| 1629517388 | Shera Looney | Preferred Provider Organization | 500 5th Ave W, 502, Seattle, WA 98119-3957 | 2017-02-14 |
| 1538615158 | J.r. Craig Webster D.d.s. | Preferred Provider Organization | 204 West 1st. Street, Omak, WA 98841 | 2016-09-01 |
| 1306390109 | Sabrina Mandich, Dds, LLC | Preferred Provider Organization | 207 Sw 156th St Ste 1, Burien, WA 98166-2561 | 2016-08-09 |
| 1083168272 | Marnie L. Collins Dds | Preferred Provider Organization | 507 N Sullivan Rd Ste 2, Spokane Valley, WA 99037-8576 | 2016-08-05 |
| 1720431414 | David J Olson Dds Pllc | Preferred Provider Organization | 509 Olive Way Ste 1238, Seattle, WA 98101-1745 | 2016-07-18 |
| 1932558780 | Cheng Im Shao Chue Gomez Pllc | Preferred Provider Organization | 22035 Se Wax Rd, Ste 5, Maple Valley, WA 98038-8543 | 2016-06-11 |
| 1659741858 | Canyon Crossing Chiropractic Ps | Preferred Provider Organization | 5610 176th St E, D105, Puyallup, WA 98375-9305 | 2015-09-30 |
| 1336519982 | Dr. James Hood | Preferred Provider Organization | 2510 N Pines Rd Ste 206, Spokane Valley, WA 99206-7636 | 2015-09-25 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| Find all providers with the same taxonomy | ||||
| City | WOODINVILLE |
| Zip Code | 98072 |
Please comment or provide details below to improve the information on SOUND DERMATOLOGY AND SKIN SURGERY PLLC.
| 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.