Spokane Dermatology Clinic Ps
NPI 1649367889ActiveOrganization· Dermatology· Spokane, WA
Dermatology in Spokane, Washington, registered in NPPES in October 2006. The authorized official on file is John Driscoll, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649367889 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2006 |
| Last updated in NPPES | Sep 17, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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