Active NPI
Seattle Dermatology Center
- Dermatology Physician
- Seattle, WA
National Provider Identifier
1497973093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- SEATTLE DERMATOLOGY CENTER
- Practice address
- 509 Olive Way
533 Medical Dental Building
Seattle, WA 98101-1720 - Phone
- (206) 622-9215
- NPI assigned
- Apr 22, 2007
- 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
- Michael J Scott III, D.O.
- Title
- Co-Director
- Phone
- (206) 622-9215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
509 Olive Way
533 Medical Dental Building
Seattle, WA 98101-1720
Mailing address
509 Olive Way
533 Medical Dental Building
Seattle, WA 98101-1720
Phone (206) 622-9215
National Provider Directory
National Provider DirectoryLocations
509 Olive Way
#533
Seattle, WA 98101
Phone (206) 622-9215
509 Olive Way
Ste 817
Seattle, WA 98101
Phone (206) 467-6479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497973093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 OLIVE WAY",
"address_2": "533 MEDICAL DENTAL BUILDING",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011720",
"telephone_number": "206-622-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLIVE WAY",
"address_2": "533 MEDICAL DENTAL BUILDING",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011720",
"telephone_number": "206-622-9215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEATTLE DERMATOLOGY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CO-DIRECTOR",
"authorized_official_telephone_number": "206-622-9215",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
- Seattle Colleges
- Seattle Colon and Rectal Clinic Inc PS
- Seattle Community Colleges District VI
- Seattle Concierge OB GYN PLLC
- Seattle Counseling Center
- Seattle Drug and Narcotic Center Inc
- Seattle Ear Nose Throat TR
- Seattle East Asian Medicine PLLC
- Seattle Emergency Physicians Services
- Seattle Emergency Physicians Services Inc PS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.