Joel H Datloff, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00023811 Issued in WA

Practice address

8614 E Mill Plain Blvd
Suite 400
Vancouver, WA 98664-2059

Phone

(360) 254-5267

Fax

(360) 254-6089

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of North Texas HSC, College of Osteopathic Med, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Southwest Washington, PLLCGroup PAC ID 5496891509, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.22 of 100Reported as group

Quality

80.41

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology Associates of Southwest Washington, PLLC

  • Medical Specialty Clinic/Center
  • Vancouver, WA
  • NPI 1992938906
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1477581817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 E MILL PLAIN BLVD",
            "address_2": "SUITE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642059",
            "telephone_number": "360-254-5267",
            "fax_number": "360-254-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 E MILL PLAIN BLVD",
            "address_2": "SUITE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642059",
            "telephone_number": "360-254-5267",
            "fax_number": "360-254-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATLOFF",
        "first_name": "JOEL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00023811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027416",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Darr
• Marilyn S Darr, MD
• Alysia Dasenbrock, RN
• Alexis Dasilva
• Jerome J Dasilva, MD
• Dale Alan Dauenhauer, LPN
• Deverist Ra-Nie Daugherty
• Tarshene Nicole Daugherty, LMP
• Dayna Louise Davenport-Dickson
• Nina Davenport

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.