Active NPI
Zheng Qian, MD
- Dermatology Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD00046729
- Practice address
- 501 SE 172ND Ave
Vancouver, WA 98684-9542 - Phone
- (360) 882-2778
- Fax
- (360) 604-1719
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD00046729 | WA | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | MD00046729 | WA | |
| Procedural Dermatology Physician | 207NS0135X | MD00046729 | WA |
Addresses
Primary practice location
501 SE 172ND Ave
Vancouver, WA 98684-9542
Mailing address
700 NE 87TH Ave
Vancouver, WA 98664-1913
Phone (360) 882-2778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8458622 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 SE 172ND Ave
Vancouver, WA 98684-9542
Phone (360) 882-2778
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 222 |
| Removal of skin cancer | 897 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00046729 | WA | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Dermatology | Current | Accepting new patients |
| The Vancouver Clinic Pharmacy | Past | Accepting new patients | |
| Kaf Path LLC | Past | Accepting new patients | |
| Center for Dermatology and Skin Surgery Inc | Dermatology | Past | Accepting new patients |
Locations
2525 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1500
501 SE 172nd Ave
Vancouver, WA 98684
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
2621 NE 134th St
Ste 300
Vancouver, WA 98686
Phone (360) 718-2355
Interoperability endpoints
- zqian2201@tvc-direct.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Pharmacist
- Vancouver, WA
- NPI 1336365857
-
- Dermatology Physician
- Tampa, FL
- NPI 1558448522
-
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1538368493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1114950896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 NE 87TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641913",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SE 172ND AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986849542",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QIAN",
"first_name": "ZHENG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "MD00046729",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "WA",
"license": "MD00046729",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "WA",
"license": "MD00046729",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8458622",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.