Mosaic Dermatology PLLC
NPI 1245051390ActiveOrganization· Dermatology· West Fargo, ND
Dermatology in West Fargo, North Dakota, registered in NPPES in October 2024. The authorized official on file is Joanne Montgomery, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245051390 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 22, 2024 |
| Last updated in NPPES | Feb 27, 2025 |
| Certified by provider | Feb 27, 2025 |
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 (ND) |
|---|
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