Pacific Dermatology Inc
NPI 1417101569ActiveOrganization· Dermatology· Wailuku, HI
Dermatology in Wailuku, Hawaii, registered in NPPES in November 2008, part of Pacific Dermatology, Inc. The authorized official on file is Jac Daniel Marden, M.D., President/Physician.
Overview
| NPI | 1417101569 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pacific Dermatology, Inc. |
| NPI issued | Nov 14, 2008 |
| Last updated in NPPES | Jan 31, 2009 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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