Grand Island Dermatology PC
NPI 1609836535ActiveOrganization· Dermatology· Grand Island, NE
Dermatology in Grand Island, Nebraska, registered in NPPES in March 2006. The authorized official on file is Patrick L. Sheridan, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609836535 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 24, 2006 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 22426 | NE |
| Specialist | 174400000X | 22426 | NE |
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 (NE) |
|---|
Other Dermatology providers in Grand Island
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- 1508986662