The Dermatology House PC
NPI 1316470750ActiveOrganization· Dermatology· Park City, UT
Dermatology in Park City, Utah, registered in NPPES in April 2017. The authorized official on file is Kelly Stankiewicz, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316470750 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 4, 2017 |
| Last updated in NPPES | Feb 20, 2024 |
| Certified by provider | Feb 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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