Hearthstone Dermatology Nonprofit Professional Services
NPI 1477169753ActiveOrganization· Voluntary or Charitable· McCleary, WA
Voluntary or Charitable in McCleary, Washington, registered in NPPES in September 2020. The authorized official on file is Geneva Tzenov, FNP-C, Ceo-Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477169753 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2020 |
| Last updated in NPPES | Sep 22, 2020 |
| Certified by provider | Sep 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Voluntary or Charitable Primary | 251V00000X | — | — |
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 (WA) |
|---|