Mountain Dermatology Specialists, PC
NPI 1790053213ActiveOrganization· Dermatology· Edwards, CO
Dermatology in Edwards, Colorado, registered in NPPES in December 2011. The authorized official on file is Jean L. Urquhart, MD, Physician Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790053213 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2011 |
| Last updated in NPPES | Jan 23, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | CO |
| Dermatology | 207N00000X | 38262 | CO |
| Dermatology, Dermatopathology | 207ND0900X | 38262 | CO |
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) |
|---|
Other Dermatology providers in Edwards
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