ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC (NPI# 1710952882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710952882 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC |
| 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 | 2006-02-21 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | JOEL K SEARS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5094567414 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ID | Ambulatory Health Care Facilities | |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
601724644 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MEDICARE | P00114626 | 01 |
| WA | 7084197 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881660751 | Advanced Dermatology and Skin Surgery, Pllc | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-02-28 |
| 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 |
| 1467673061 | Chadd Sukut | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2007-05-01 |
| 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 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1902864879 | Spokane Surgery Center Ltd Ps | Clinic/Center | 1120 N Pines Road, Spokane Valley, WA 99206 | 2006-05-02 |
| 1548252968 | Foot and Ankle Clinic of Spokane Inc | Clinic/Center | 205 N University Rd Ste 4, Spokane Valley, WA 99206-5094 | 2005-08-22 |
| 1619517539 | Mountain West Derm - Blackhart Pllc | Clinic/Center | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2020-01-08 |
| 1881065076 | Spokane Oral Surgery Asc | Clinic/Center | 12109 E Broadway Ave Ste C, Spokane Valley, WA 99206-6133 | 2015-10-13 |
| 1902228455 | Providence Health & Services Washington | Clinic/Center | 16528 Desmet Ct, Spokane Valley, WA 99216-3522 | 2014-01-16 |
| 1750521720 | Spokane Valley Ear Nose & Throat Ps | Clinic/Center | 1424 N. Mcdonald Rd, Suite 102, Spokane Valley, WA 99216 | 2009-03-03 |
| 1023253515 | Rockwood Valley Surgery Center | Clinic/Center | 1414 N Houk Rd, Suite 204, Spokane Valley, WA 99216-1097 | 2008-12-11 |
| 1467637116 | Inland Northwest Surgery Center Pllc | Clinic/Center | 526 N Mullan Rd, Ste. A, Spokane Valley, WA 99206-2408 | 2007-12-31 |
| 1235195132 | Valley Outpatient Surgery Center Lp | Clinic/Center | 1414 N Houk Rd, #204, Spokane Valley, WA 99216-1097 | 2006-04-21 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99212 |
Please comment or provide details below to improve the information on ADVANCED 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.