David M Trask MD LLC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

DAVID M TRASK MD LLC

Practice address

492 Murphy Rd
Medford, OR 97504-8144

Phone

(541) 858-1998

Fax

(541) 772-1513

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Estelle Hill

Title

Practice Administrator

Phone

(541) 858-1998

Specialties & licenses 1

Addresses

Other names 1

• Skin Cancer and Dermatology Center of Southern Oregon Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Mark Trask, M.D.

  • Dermatology Physician
  • Medford, OR
  • NPI 1174592349
  NPD
• Krista Smith, PA

  • Physician Assistant
  • Pasadena, CA
  • NPI 1942274220
  NPD (past)

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1508686502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048144",
            "telephone_number": "541-858-1998",
            "fax_number": "541-772-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048144",
            "telephone_number": "541-858-1998",
            "fax_number": "541-772-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M TRASK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ESTELLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "541-858-1998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Cancer and Dermatology Center of Southern Oregon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Jane Davenport, M.D.
• David a Allen DDS
• David Chamberland MD Inc
• David Edison Harris
• David M Alex DDS PC
• Melvin Cornelius Davidson
• Wendy-Jo Davidson
• Alexandria R Davis, CRM
• Chelsea Davis, LPC
• Christopher Charles Davis, PA-C

• Dermatopathology Physician in Medford, OR
• Providers in Medford, OR by specialty
• Dermatopathology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.