Edward G. Southwick, M.D.
NPI 1619957156ActiveIndividual· Dermatology· West Valley City, UT
Dermatology (M.D.) in West Valley City, Utah, licensed in UT, with an NPI issued in January 2006.
Overview
| NPI | 1619957156 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 19, 2006 |
| Last updated in NPPES | Aug 14, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 156560-1205 | UT |
| Dermatology, Dermatopathology | 207ND0900X | 156560-1205 | UT |
| Dermatology, Procedural Dermatology | 207NS0135X | 156560-1205 | UT |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dermatology providers in West Valley City
- 1639810005