Center for Excellence in Dermatology, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00024575 Issued in WA

Legal business name

CENTER FOR EXCELLENCE IN DERMATOLOGY, PLLC

Practice address

8901 W Gage Blvd
Kennewick, WA 99336-7190

Phone

(509) 735-1100

Fax

(509) 735-1180

NPI assigned

Feb 7, 2007

Organization subpart

No

Name

Robert B Hopp, M.D.NPI 1801835509

Title

Doctor

Phone

(509) 735-1100

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Center for Excellence in Dermatology PLLC

  • Specialist
  • Hermiston, OR
  • NPI 1093061806

  O20120817000135

  Same enrollment

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Center for Excellence in Dermatology PLLC

  • Specialist
  • Hermiston, OR
  • NPI 1093061806

  8527123306

  Same PAC ID

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

• Robert Blaine Hopp, M.D.

  • Dermatology Physician
  • Kennewick, WA
  • NPI 1801835509

  WA

  Medicare reassignment Care Compare group Authorized official
• Jennifer Mary Corbin, PA-C

  • Physician Assistant
  • Kennewick, WA
  • NPI 1902055619

  WA

  Medicare reassignment Care Compare group NPD
• Ryan Paul Duarte, M.A., PA-C

  • Physician Assistant
  • Pasco, WA
  • NPI 1720127020

  WA

  Medicare reassignment Care Compare group NPD
• Rebecca Q Eng, ARNP

  • Family Nurse Practitioner
  • Kennewick, WA
  • NPI 1265661342

  WA

  Medicare reassignment Care Compare group NPD
• Travis R Henderson, PA-C

  • Medical Physician Assistant
  • Richland, WA
  • NPI 1700222437

  WA

  Medicare reassignment Care Compare group NPD
• Melissa May Jaeger, ARNP, FNP-C

  • Dermatology Physician
  • Kennewick, WA
  • NPI 1306508635

  WA

  Medicare reassignment Care Compare group NPD
• Julie Kay Hereford, FNP-C

  • Family Nurse Practitioner
  • Hermiston, OR
  • NPI 1235403619

  WA

  Medicare reassignment Care Compare group NPD
• Randall Shane Clower, PA-C

  • Medical Physician Assistant
  • Kennewick, WA
  • NPI 1871521864

  WA

  Medicare reassignment NPD
• Danielle Kathryn Addleman, PA

  • Physician Assistant
  • Pendleton, OR
  • NPI 1669745469
  Care Compare group NPD
• Christy B Masterman, ARNP

  • Nurse Practitioner
  • Kennewick, WA
  • NPI 1841396413

  WA

  Medicare reassignment
• Jeremy Walter Peck, M.D., PH.D.

  • MOHS-Micrographic Surgery Physician
  • Richland, WA
  • NPI 1457514689

  WA

  Medicare reassignment
• Dana T Sineath, FNP-C

  • Family Nurse Practitioner
  • Walla Walla, WA
  • NPI 1962613059

  WA

  Medicare reassignment

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

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2013.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1669512950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367190",
            "telephone_number": "509-735-1100",
            "fax_number": "509-735-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367190",
            "telephone_number": "509-735-1100",
            "fax_number": "509-735-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EXCELLENCE IN DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "HOPP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "509-735-1100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00024575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiauna-Rose R Castillo
• Brandon Castro
• Catalyst Natural Health
• Catalyst Performance and Physical Therapy
• Center for Eft
• Center for Functional Health PLLC
• Center for Pediatrics
• Center for Pediatrics PLLC
• Center Vision & Contact Lens Clinic Inc P S
• Central Tri-Cities Gastroenterology, LLC

• All providers in Kennewick, WA
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.