Northwest Skin Specialists PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00030950 Issued in WA

Legal business name

NORTHWEST SKIN SPECIALISTS PLLC

Practice address

1229 Madison St
Ste 1290
Seattle, WA 98104-3568

Phone

(206) 315-4603

Fax

(206) 315-4601

NPI assigned

Jun 20, 2005

Last updated

Mar 20, 2008By 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

Dianne B Thompson, M.D.NPI 1487659967

Title

Medical Director, Owner Member

Phone

(206) 315-4603

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Dianne B Thompson, M.D.

  • Dermatology Physician
  • Seattle, WA
  • NPI 1487659967
  Authorized official Same address or phone

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1437154911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST",
            "address_2": "STE 1290",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043568",
            "telephone_number": "206-315-4603",
            "fax_number": "206-315-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST",
            "address_2": "STE 1290",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043568",
            "telephone_number": "206-315-4603",
            "fax_number": "206-315-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SKIN SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR, OWNER MEMBER",
        "authorized_official_telephone_number": "206-315-4603",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00030950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 20, 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.

Verify at the official NPI Registry.