Fairhaven Dermatology, PLLC
NPI 1336693902ActiveOrganization· Dermatology· Bellingham, WA
Dermatology in Bellingham, Washington, registered in NPPES in August 2016. The authorized official on file is Thomas J. Langei, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336693902 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 11, 2016 |
| Last updated in NPPES | Apr 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 603616109 | WA |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 603616109 | WA |
| Physician Assistant | 363A00000X | 603616109 | WA |
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 (WA) |
|---|
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