Draper Dermatology, P.C.
NPI 1093224818ActiveOrganization· Dermatology· South Jordan, UT
Dermatology in South Jordan, Utah, registered in NPPES in September 2017. The authorized official on file is Ryan Cooksey, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093224818 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2017 |
| Last updated in NPPES | Feb 8, 2020 |
| Certified by provider | Feb 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 177611-1205 | UT |
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 (UT) |
|---|
Other Dermatology providers in South Jordan
- 1083716955