Summit Dermatology and Aesthetics
NPI 1952172686ActiveOrganization· Dermatology· Medford, OR
Dermatology in Medford, Oregon, registered in NPPES in January 2024. The authorized official on file is John Richardson, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1952172686 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2024 |
| Last updated in NPPES | Oct 29, 2024 |
| Certified by provider | Oct 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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 (OR) |
|---|
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