Active NPI
Dermatology Associates PLLC
- Dermatology Physician
- Seattle, WA
National Provider Identifier
1376551002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DERMATOLOGY ASSOCIATES PLLC
- Practice address
- 1730 Minor Avenue
Ste 1000 Dermatology Associates PLLC
Seattle, WA 98101-1498 - Phone
- (206) 267-2100
- Fax
- (206) 267-2101
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bernard Saul Goffe, MD
- Title
- Medical Director
- Phone
- (206) 267-2100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1730 Minor Avenue
Ste 1000 Dermatology Associates PLLC
Seattle, WA 98101-1498
Mailing address
1730 Minor Avenue
Ste 1000 Dermatology Associates PLLC
Seattle, WA 98101-1498
Phone (206) 267-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7122237 | Medicaid | WA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Seattle, WA
- NPI 1336157056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205452800000",
"number": "1376551002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 MINOR AVENUE",
"address_2": "STE 1000 DERMATOLOGY ASSOCIATES PLLC",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011498",
"telephone_number": "206-267-2100",
"fax_number": "206-267-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 MINOR AVENUE",
"address_2": "STE 1000 DERMATOLOGY ASSOCIATES PLLC",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011498",
"telephone_number": "206-267-2100",
"fax_number": "206-267-2101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMATOLOGY ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2008-03-14",
"status": "A",
"authorized_official_last_name": "GOFFE",
"authorized_official_first_name": "BERNARD",
"authorized_official_middle_name": "SAUL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "206-267-2100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7122237",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.