Innovative Wound Healing & Dermatology
NPI 1538741053ActiveOrganization· Dermatology· Bonney Lake, WA
Dermatology in Bonney Lake, Washington, registered in NPPES in April 2021. The authorized official on file is Daniel Levy, MD, Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538741053 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2021 |
| Last updated in NPPES | Sep 16, 2024 |
| Certified by provider | Sep 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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 (WA) |
|---|
Other Dermatology providers in Bonney Lake
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