Whitefish Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

12763 Issued in MT

Legal business name

WHITEFISH DERMATOLOGY LLC

Practice address

401 Baker Ave
Whitefish, MT 59937-2499

Phone

(406) 862-7546

NPI assigned

Sep 13, 2012

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina Bryan Pynes

Title

Office Manager/Part Owner

Phone

(334) 791-2708

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirby Lamar Hart, M.D.

  • Gynecology Physician
  • Dothan, AL
  • NPI 1295711760
  NPD
• Leonard Terry Pynes, MD

  • Specialist
  • Dothan, AL
  • NPI 1144228388

  Dermatology

  NPD

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1336499680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599370640",
            "telephone_number": "406-862-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BAKER AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372499",
            "telephone_number": "406-862-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEFISH DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PYNES",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OFFICE MANAGER/PART OWNER",
        "authorized_official_telephone_number": "334-791-2708"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "12763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth White, MD
• Whitefish Acupuncture & Chiropractic, Inc.
• Whitefish Care Holdings, LLC
• Whitefish Chiropractic Center PC
• Whitefish Community Aquatic & Health Center (The Wave)
• Whitefish Eye Center, LLC.
• Whitefish Operations LLC (Springs at Whitefish LLC)
• Whitefish Physical Therapy & Sports Rehab, Inc.
• Whitefish Plastic Surgery
• Whitefish Plastic Surgery, Inc.

• Dermatology Physician in Whitefish, MT
• Providers in Whitefish, MT by specialty
• Dermatology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.