K2 Dermatology, LLC
NPI 1558094003ActiveOrganization· Dermatology· Boulder, CO
Dermatology in Boulder, Colorado, registered in NPPES in July 2022. The authorized official on file is Ivy Bradshaw Koger, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558094003 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2022 |
| Last updated in NPPES | Jul 1, 2022 |
| Certified by provider | Jun 13, 2022 |
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 (CO) |
|---|
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