Active NPI
Lark Greenwald Guss, M.D.
- MOHS-Micrographic Surgery Physician
- Spokane, WA
National Provider Identifier
1275973398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- MD60840220
- 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
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 | 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
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
- Johns Hopkins University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 86.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 194 |
| Removal of skin lesions | 33 |
| Removal of skin cancer | 729 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79073 | MT | MD | Dermatology Physician |
| MD60840220 | WA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Specialists of Spokane | Dermatology | Current | Accepting new patients |
Locations
510 S Cowley St
Ste 200
Spokane, WA 99202
Phone (509) 252-9191
Interoperability endpoints
- 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.
-
- Dermatology Physician
- Spokane, WA
- NPI 1912179599
-
- Dermatology Physician
- Clarkston, WA
- NPI 1841269248
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.