Dermatology & Laser Center NW

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY & LASER CENTER NW

Practice address

905 Squalicum Way Ste 101
Bellingham, WA 98225-2076

Phone

(360) 676-1470

Fax

(360) 676-0377

NPI assigned

Sep 13, 2006

Last updated

Jul 11, 2024By 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

Aubrey Glasser

Title

Practice Manager

Phone

(360) 676-1470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 6

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.

• Jan Peter Dank, MD

  • Dermatology Physician
  • Bellingham, WA
  • NPI 1053428490
  Medicare reassignment Care Compare group NPD
• Corinne Marie Hecht, M.D.

  • Dermatology Physician
  • Bellingham, WA
  • NPI 1215179502
  Medicare reassignment Care Compare group NPD
• Deborah Lynn Sherman Groda, PAC

  • Physician Assistant
  • Bellingham, WA
  • NPI 1164601977
  Medicare reassignment Care Compare group
• Anna Catherine Cairns, ARNP

  • Adult Health Nurse Practitioner
  • Bellingham, WA
  • NPI 1457716995
  Medicare reassignment NPD
• Stanley Craig Gilbert, M.D.

  • Dermatology Physician
  • Bellingham, WA
  • NPI 1013012459
  Medicare reassignment NPD
• Carol Anne Lindsey, PA-C

  • Physician Assistant
  • Nashua, NH
  • NPI 1609917004

  WA

  Medicare reassignment

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1376648717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SQUALICUM WAY",
            "address_2": "STE. 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-676-1470",
            "fax_number": "360-676-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SQUALICUM WAY STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252076",
            "telephone_number": "360-676-1470",
            "fax_number": "360-676-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & LASER CENTER NW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "GLASSER",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "360-676-1470"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gur Raj S. Deol, M.D.
• Corie Deraas
• Derek R Damon DDS PS
• Missica L Derhalli
• Thomas Derleth, M.D.
• Erik James Deroche, MS, DC, CSCS
• Krista Lynn Deroche, MA, LMHC
• Vicki Derry
• David R Deschenes, PT
• Desert Pine Chiropractic, PLLC (Desert Pine Chiropractic)

• Dermatology Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.