Clinic for Dermatology & Wellness LLC
NPI 1467908863ActiveOrganization· Nurse Practitioner, Family· Medford, OR
Nurse Practitioner, Family in Medford, Oregon, registered in NPPES in August 2016. The authorized official on file is Joseph John Atzenbeck, Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1467908863 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2016 |
| Last updated in NPPES | Jun 19, 2021 |
| Certified by provider | Jun 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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