Rocky Mountain Dermatology Inc
NPI 1154527372ActiveOrganization· Dermatology· North Logan, UT
Dermatology in North Logan, Utah, registered in NPPES in June 2007. The authorized official on file is Robert P. Young, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154527372 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2007 |
| Last updated in NPPES | Oct 12, 2026 |
| Certified by provider | Oct 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 295172-1205 | UT |
| Dermatology, Clinical & Laboratory Dermatological Immunology | 207NI0002X | 295172-1205 | UT |
| Dermatology, Pediatric Dermatology | 207NP0225X | 295172-1205 | UT |
| Dermatology, Procedural Dermatology | 207NS0135X | 295172-1205 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 North Logan
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