Black Hills Dermatology PC
NPI 1689831091ActiveOrganization· Dermatology· Spearfish, SD
Dermatology in Spearfish, South Dakota, registered in NPPES in May 2008. The authorized official on file is Jason W. Gorman, Administrator.
Overview
| NPI | 1689831091 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2008 |
| Last updated in NPPES | Jan 30, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 0370 | SD |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 0370 | SD |
| Dermatology, Dermatopathology | 207ND0900X | 0370 | SD |
| Dermatology, Pediatric Dermatology | 207NP0225X | 0370 | SD |
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 |
|---|
Other Dermatology providers in Spearfish
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- 1477932390
- 1972790160