Individual provider Active NPI

Lark Greenwald Guss, M.D.

  • MOHS-Micrographic Surgery Physician
  • Spokane, WA
National Provider Identifier
1275973398
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD60840220 Issued in WA
Practice address
510 S Cowley St Ste 200
Spokane, WA 99202-1332
Phone
(509) 456-8444
Fax
(509) 455-9227
NPI assigned
Jul 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 79073 MT
MOHS-Micrographic Surgery Physician 207ND0101X MD60840220 WA Primary
Dermatology Physician 207N00000X 148774 CA

Addresses

Primary practice location

510 S Cowley St Ste 200
Spokane, WA 99202-1332

Mailing address

510 S Cowley St
Spokane, WA 99202-1332
Phone (509) 456-8444

Other names 1

  • Lark Julie Greenwald Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702002073 WA Practitioner - DermatologyPractitioner - Other (Physician) 2163646605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Johns Hopkins University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of SpokaneGroup PAC ID 2567540503, 9 clinicians

Practice addresses (Care Compare)

510 S Cowley St
Suite 200
Spokane, WA 99202-1332
Phone (509) 456-8444

Merit-based Incentive Payment System (MIPS)

Final score
95.94 of 100Reported as group
Quality
100
Improvement activities
40
Cost
86.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision194
Removal of skin lesions33
Removal of skin cancer729
Removal or shaving of skin growth1-10
Skin biopsy17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
79073MTMDDermatology Physician
MD60840220WAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of Spokane Dermatology CurrentSince Jul 1, 2021 Accepting new patients

Locations

510 S Cowley St
Ste 200
Spokane, WA 99202
Phone (509) 252-9191

Interoperability endpoints

  • Direct secure messaging: lgreenwaldguss940790@wm.providencedirect.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1275973398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S COWLEY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021332",
            "telephone_number": "509-456-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S COWLEY ST STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021332",
            "telephone_number": "509-456-8444",
            "fax_number": "509-455-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSS",
        "first_name": "LARK",
        "middle_name": "GREENWALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "79073",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD60840220",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "148774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARK",
            "last_name": "GREENWALD",
            "middle_name": "JULIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.