Renew Dermatology
NPI 1063230035ActiveOrganization· Dermatology· Kennewick, WA
Dermatology in Kennewick, Washington, registered in NPPES in September 2024. The authorized official on file is Jamesa Castilla, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063230035 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2024 |
| Last updated in NPPES | Oct 9, 2024 |
| Certified by provider | Oct 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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) |
|---|
Other Dermatology providers in Kennewick
- 1417599374
- 1235204595
- 1801835509
- 1306508635