DERMATOLOGY CLINIC OF SPOKANE, P.C (NPI# 1992348619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992348619 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY CLINIC OF SPOKANE, P.C |
| Practice Address |
309 E Farwell Rd Ste 206 Spokane WA 99218-8208 |
| Practice Telephone | 5094844591 |
| Practice Fax Number | 5094847882 |
| Mailing Telephone | 5094844591 |
| Mailing Fax Number | 5094847882 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | DR. WILLIAM ANDREW WRAY (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 5094844591 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| William A. Wray. MD. PLLC | Former Legal Business Name - Organization |
| Street Address |
309 E FARWELL RD STE 206 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-8208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104144542 | Stephnie Hansen | Massage Therapist | 309 E Farwell Rd Ste 206, Spokane, WA 99218-8202 | 2010-05-10 |
| 1164896338 | Amanda Grecu | Physician Assistant | 309 E Farwell Rd Ste 206, Spokane, WA 99218-8208 | 2015-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
| 1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
| 1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
| 1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
| 1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
| 1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
| 1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| Find all providers in zip 99218 | ||||
| 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 |
| 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 |
| 1912179599 | Dermatology Specialists of Spokane | Dermatology | 820 S Mcclellan St, Suite 426, Spokane, WA 99204-2457 | 2008-03-24 |
| 1023119682 | William Philip Werschler | Dermatology | 104 W 5th Ave, 330w, Spokane, WA 99204-4880 | 2006-09-26 |
| Find all providers in SPOKANE | ||||
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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.