Central Utah Dermatology
NPI 1245863893ActiveOrganization· Dermatology· Richfield, UT
Dermatology in Richfield, Utah, registered in NPPES in February 2020. The authorized official on file is Sealtiel A. Tinajero, DO, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245863893 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2020 |
| Last updated in NPPES | Feb 21, 2020 |
| Certified by provider | Feb 21, 2020 |
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 (UT) |
|---|
Other Dermatology providers in Richfield
- 1619554110