Black Hills Dermatology PC
NPI 1497727028ActiveOrganization· Dermatology· Rapid City, SD
Dermatology in Rapid City, South Dakota, registered in NPPES in February 2006. The authorized official on file is Jason W. Gorman, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497727028 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2006 |
| Last updated in NPPES | May 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 0370 | SD |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 0370 | SD |
| Dermatology, Dermatopathology | 207ND0900X | 0370 | SD |
| Dermatology, Pediatric Dermatology | 207NP0225X | 0370 | SD |
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 (SD) |
|---|
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