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MR. KIRK TORGLE ECKLUND MD NPI 1154432904


NPI Information

NPI: 1154432904
Provider Name: MR. KIRK TORGLE ECKLUND, MD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

Organization: YAKIMA VALLEY DERMATOLOGY INC PS

PECOS Registration: Yes

CLIA Number: 50D0991309

Address:
3911 CASTLEVALE RD
STE 301
YAKIMA, WA
ZIP 98902
Phone: (509) 965-1714
Get Directions

MR. Kirk Torgle Ecklund, MD is a mohs-micrographic surgery dermatology in Yakima, WA with 40 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. MR. Kirk Torgle Ecklund, MD NPI is 1154432904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

3911 CASTLEVALE RD
STE 301
YAKIMA, WA
ZIP 98902-807
Phone: (509) 965-1714
Fax: (509) 965-1714

The NPI 1154432904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 50D0991309 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Destruction of skin growth (HCPCS:17000)
  • Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips (HCPCS:11642)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyMD00032475WASHINGTONNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryMD00032475WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B178956MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.