DERMATOLOGY SPECIALISTS OF SPOKANE (NPI# 1912179599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912179599 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY SPECIALISTS OF SPOKANE |
| Practice Address |
820 S Mcclellan St Suite 426 Spokane WA 99204-2457 |
| Practice Telephone | 5094568444 |
| Practice Fax Number | 5094559227 |
| Mailing Telephone | 5094568444 |
| Mailing Fax Number | 5094559227 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2014-10-13 |
| Authorized Official Name | DR. RICHARD S HERDENER (PHYSICIAN OWNER) |
| Authorized Official Telephone | 5094568444 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD00023695 | WA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DERMATOLOGY SPECIALISTS OF SPOKANE | 510 S Cowley St Suite 200, Spokane, WA 99202-1332 |
| Washington State Corporations | DERMATOLOGY SPECIALISTS OF SPOKANE, PLLC | 510 S Cowley St, Suite 200, Spokane, WA 99202-1332 |
| Street Address |
820 S MCCLELLAN ST SUITE 426 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662530 | Lisa Bess Christian | Psychologist | 820 S Mcclellan St, Spokane, WA 99204-2457 | 2005-07-13 |
| 1568907244 | Mark Ingoldby | Social Worker | 820 S Mcclellan St, Suite 200, Spokane, WA 99204-2457 | 2017-01-04 |
| 1386006427 | Elizabeth Marie Gilroy | Registered Nurse | 820 S Mcclellan St, Spokane, WA 99204-2457 | 2016-03-28 |
| 1144652652 | Gargi Ganguly | Internal Medicine | 820 S Mcclellan St, Suite 500, Spokane, WA 99204-2457 | 2013-08-07 |
| 1124462478 | Caitlin Jane Allen | Internal Medicine | 820 S Mcclellan St, Suite 500, Spokane, WA 99204-2457 | 2013-04-17 |
| 1538464060 | Kaushik Chatterjee | Internal Medicine | 820 S Mcclellan St, Suite 200, Spokane, WA 99204-2457 | 2011-01-13 |
| 1659689768 | Vincint L. Sprung | Physician Assistant | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2457 | 2010-09-23 |
| 1609193374 | Providence Physician Services Co | Orthopaedic Surgery | 820 S Mcclellan St, Ste 300, Spokane, WA 99204-2457 | 2010-04-21 |
| 1952636672 | Cameron Chesnut | Dermatology | 820 S Mcclellan St, Suite 426, Spokane, WA 99204-2457 | 2009-10-14 |
| 1578712923 | Danny Lee Jones II | Physician Assistant | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2457 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| 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 |
|---|---|---|---|---|
| 1508955287 | Steven L. Dixon | Dermatology | 59 E Queen Ave, Suite 102, Spokane, WA 99207-1430 | 2006-10-12 |
| 1750394227 | Drew Aubrey Reese | Dermatology | 324 S Sherman St, Spokane, WA 99202-1461 | 2006-08-14 |
| 1164401444 | Benjamin Hsu | Dermatology | 757 E Holland Ave, Northwest Dermatology, Spokane, WA 99218-1257 | 2006-01-13 |
| 1992348619 | Dermatology Clinic of Spokane, P.c | Dermatology | 309 E Farwell Rd Ste 206, Spokane, WA 99218-8208 | 2019-10-25 |
| 1063935286 | Chesnut Institute of Cosmetic & Reconstructive Surgery | Dermatology | 510 S Cowley St, Spokane, WA 99202-1332 | 2017-07-19 |
| 1639565872 | Lindsey Goddard | Dermatology | 510 S Cowley St, Spokane, WA 99202-1332 | 2015-04-14 |
| 1942695192 | Ashley Lundgren | Dermatology | 101 W 8th Ave, Spokane, WA 99204-2307 | 2015-04-04 |
| 1952636672 | Cameron Chesnut | Dermatology | 820 S Mcclellan St, Suite 426, Spokane, WA 99204-2457 | 2009-10-14 |
| 1396919569 | Katherine Bruya Reed | Dermatology | 820 S Mcclellan St, Suite 426, Spokane, WA 99204-2457 | 2008-04-17 |
| 1023119682 | William Philip Werschler | Dermatology | 104 W 5th Ave, 330w, Spokane, WA 99204-4880 | 2006-09-26 |
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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.