Eastern Washington Dermatology PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EASTERN WASHINGTON DERMATOLOGY PLLC

Practice address

228 W Birch St
Walla Walla, WA 99362-2935

Phone

(509) 525-9904

Fax

(509) 525-9433

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Eileen P Smith, MD

Title

Owner

Phone

(509) 525-9404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1356422588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W BIRCH ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622935",
            "telephone_number": "509-525-9904",
            "fax_number": "509-525-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W BIRCH ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622935",
            "telephone_number": "509-525-9904",
            "fax_number": "509-525-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN WASHINGTON DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-525-9404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Elizabeth Duran
• Carleigh Joy Dye
• Melissa Dyer
• Francis Eacker-Rude, MACOM, LAC
• Eastern Washington Ambulatory Anesthesia Services PLLC
• Luke Alexander Eatherton, MSW
• Elizabeth Eaton-Gamsby, R.N., F.N.P.
• Kirsten B Eberhardt, M.D.
• Karl Robert Eckhardt, M.D.
• Edwards & Choi DDS, Inc.

• Specialist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.