Yellowstone Dermatology Associates LLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

YELLOWSTONE DERMATOLOGY ASSOCIATES LLC

Practice address

178 S 32ND St W Ste 3
Billings, MT 59102-6889

Phone

(305) 409-7584

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Eric Maranda, MDNPI 1205362043

Title

Dermatologist

Phone

(305) 409-7584

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT, WY2 enrollments

Enrollment records 2

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 5

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

• Eric L. Maranda, M.D.

  • Dermatology Physician
  • Billings, MT
  • NPI 1205362043

  Mohs-Micrographic Surgery, WY

  Medicare reassignment NPD Authorized official
• Garrett Mitchell Perkins, PA-C

  • Medical Physician Assistant
  • Billings, MT
  • NPI 1457200107

  WY

  Medicare reassignment NPD
• Nicole Will

  • Physician Assistant
  • Billings, MT
  • NPI 1770442436

  WY

  Medicare reassignment NPD
• Elijah Shea Wendt

  • Physician Assistant
  • Billings, MT
  • NPI 1083423214

  WY

  Medicare reassignment
• Cheryl S Cook, MD

  • Internal Medicine Physician
  • Billings, MT
  • NPI 1336181494
  NPD (past)

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1558033712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 RIVIERA PL",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591063233",
            "telephone_number": "305-409-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 S 32ND ST W STE 3",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026889",
            "telephone_number": "305-409-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWSTONE DERMATOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "MARANDA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "305-409-7584",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yellowstone City-County Health Dept
• Yellowstone City-County Health Dept
• Yellowstone City-County Health Dept.
• Yellowstone Counseling Center, Inc.
• Yellowstone County Youth Services Center
• Yellowstone Dermatology PLLP
• Yellowstone Dermatology, PLLC
• Yellowstone Family Dental
• Yellowstone Health and Rehab
• Yellowstone Naturopathic Clinic P C

• MOHS-Micrographic Surgery Physician in Billings, MT
• Providers in Billings, MT by specialty
• MOHS-Micrographic Surgery Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.