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BLACK HILLS DERMATOLOGY PC NPI 1689831091


NPI Information

NPI: 1689831091
Provider Name: BLACK HILLS DERMATOLOGY PC

Other Name: SPEARFISH CLINIC

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
132 E GRANT ST
SPEARFISH, SD
ZIP 57783
Phone: (605) 722-9090
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BLACK HILLS DERMATOLOGY PC is a dermatology in Spearfish, SD. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. BLACK HILLS DERMATOLOGY PC NPI is 1689831091. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Spearfish Clinic.

The provider's business location address is:

132 E GRANT ST
SPEARFISH, SD
ZIP 57783-424
Phone: (605) 722-9090
Fax: (605) 722-9909

The provider's authorized official is Jason W Gorman .
The authorized official title is Administrator and has the following contact phone number (605) 341-5565.

The enumeration date for this NPI number is 5/22/2008 and was last updated on 1/30/2015.


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
1207ND0101XDermatologyMOHS-Micrographic Surgery0370SOUTH DAKOTANo
2207ND0900XDermatologyDermatopathology0370SOUTH DAKOTANo
3207NP0225XDermatologyPediatric Dermatology0370SOUTH DAKOTANo
4207N00000XDermatology0370SOUTH DAKOTAYes

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

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