Mountain West Derm - Blackhart PLLC
NPI 1013557933ActiveOrganization· Dermatology· Spokane Valley, WA
Dermatology in Spokane Valley, Washington, registered in NPPES in January 2020. The authorized official on file is Bret S. Blackhart, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013557933 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2020 |
| Last updated in NPPES | Jan 8, 2020 |
| Certified by provider | Jan 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, Dermatopathology | 207ND0900X | — | — |
| Dermatology, Procedural Dermatology | 207NS0135X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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