Dermatology Associates of Seattle PS

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00037526 Issued in WA

Legal business name

DERMATOLOGY ASSOCIATES OF SEATTLE PS

Practice address

1730 Minor Ave
Suite 1000
Seattle, WA 98101-1498

Phone

(206) 267-2100

Fax

(206) 267-2101

NPI assigned

Apr 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter J Jenkin, MD

Title

Owner

Phone

(206) 267-2100

Specialties & licenses 3

Addresses

Other names 1

• Dermatology Associates of Seattle Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1154853703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 MINOR AVE",
            "address_2": "SUITE 1000",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011498",
            "telephone_number": "206-267-2100",
            "fax_number": "206-267-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 MINOR AVE",
            "address_2": "SUITE 1000",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011498",
            "telephone_number": "206-267-2100",
            "fax_number": "206-267-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF SEATTLE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "JENKIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-267-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00037526",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD00037526",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "WA",
            "license": "MD00037526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Associates of Seattle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taryn G Derke
• Elena Josephine Derkits, M.D.
• Andrew J Derksen-Schrock, MD
• Mark David Derleth, M.D.
• Derman PLLC
• Dermatology Associates PLLC
• Annalie Virginia Dern, LMT
• Rachael Dern, LMP
• Scott Christopher Deroo, MD
• Evelyn Elizabeth Derooy, L.M.P.

• Dermatology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.