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SMITHCARE: GENERAL DERMATOLOGY MOHS SURGERY & AESTHETICS PLLC NPI 1417620998


NPI Information

NPI: 1417620998
Provider Name: SMITHCARE: GENERAL DERMATOLOGY, MOHS SURGERY & AESTHETICS PLLC

Doing Business As: SMITHCARE: DERMATOLOGY

Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 50D2241280

Address:
21800 MARKET PL NW STE 103
POULSBO, WA
ZIP 98370
Phone: (360) 291-5700
Get Directions

SMITHCARE: GENERAL DERMATOLOGY, MOHS SURGERY & AESTHETICS PLLC is a mohs-micrographic surgery dermatology in Poulsbo, WA. 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. SMITHCARE: GENERAL DERMATOLOGY, MOHS SURGERY & AESTHETICS PLLC NPI is 1417620998. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Smithcare: Dermatology.

The provider's business location address is:

21800 MARKET PL NW STE 103
POULSBO, WA
ZIP 98370-667
Phone: (360) 291-5700
Fax: (360) 291-5702

The provider's authorized official is Andrea Dawn Smith .
The authorized official title is Managing Member/physician and has the following contact phone number (360) 291-5700.

The CLIA number assigned to this NPI record is 50D2241280 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/29/2021 and was last updated on 9/8/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyNo
2207NS0135XDermatologyProcedural DermatologyNo
3261Q00000XClinic/CenterNo
4207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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: 5/5/2024

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