Spectrum Dermatology of Seattle PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SPECTRUM DERMATOLOGY OF SEATTLE PLLC

Practice address

805 Madison St
Ste 701
Seattle, WA 98104-1172

Phone

(206) 707-9299

Fax

(206) 432-4552

NPI assigned

Aug 31, 2016

Organization subpart

No

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

Authorized official

Name

Alison Young, MD

Title

Owner

Phone

(206) 707-9299

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kari B. Paulson, PA-C

  • Physician Assistant
  • Seattle, WA
  • NPI 1538176706
  Medicare reassignment Care Compare group NPD
• Paula Zook, M.D.

  • Dermatology Physician
  • Seattle, WA
  • NPI 1558321869
  Medicare reassignment Care Compare group NPD
• Roshni Changela, PA-C

  • Physician Assistant
  • Bellevue, WA
  • NPI 1669085874
  Medicare reassignment Care Compare group
• Valerie L. J. Cooper, PA-C

  • Medical Physician Assistant
  • Issaquah, WA
  • NPI 1487624417
  Medicare reassignment Care Compare group
• Amy D Sarkie, PA-C

  • Dermatology Physician
  • Seattle, WA
  • NPI 1104821602
  Medicare reassignment

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1285180141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MADISON ST",
            "address_2": "STE 701",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041172",
            "telephone_number": "206-707-9299",
            "fax_number": "206-432-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MADISON ST",
            "address_2": "STE 701",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041172",
            "telephone_number": "206-707-9299",
            "fax_number": "206-432-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM DERMATOLOGY OF SEATTLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-707-9299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Carol Speckman, LMP
• Ari Spector
• Ashley F Spector, MS
• Gary Spector, M.D.
• June Thalia Spector, MD
• Speechami PLLC
• Pollene Speed McIntyre, DDS
• Makayla Ocean Speed, LMP
• Diane M. Speelman, APRN.CNP
• Alicia Spees, PA-C

• 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 Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.