Boone Dermatology Clinic
NPI 1417913260ActiveOrganization· Dermatology· Boone, NC
Dermatology in Boone, North Carolina, registered in NPPES in April 2006. The authorized official on file is Ronald J. Stanley, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417913260 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2006 |
| Last updated in NPPES | Apr 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 39986 | NC |
| Dermatology | 207N00000X | 18060 | NC |
| Dermatology | 207N00000X | 25707 | NC |
| Dermatology | 207N00000X | 200000665 | NC |
| Dermatology | 207N00000X | 200500862 | NC |
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 (NC) |
|---|
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