Northwest Eye & Skin Surgeons Inc PS

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00048475 Issued in WA

Legal business name

NORTHWEST EYE & SKIN SURGEONS INC PS

Doing business as

Paragon Dermatology

Practice address

558 N 5TH Ave
Sequim, WA 98382-3201

Phone

(360) 681-6900

Fax

(360) 681-6222

NPI assigned

Mar 24, 2008

Last updated

Nov 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Agnieszka J. Niemeyer, MDNPI 1467635789

Title

Owner

Phone

(360) 681-6900

Specialties & licenses 1

Addresses

Other names 1

• Paragon Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Agnieszka J. Niemeyer, MD

  • Dermatology Physician
  • Sequim, WA
  • NPI 1467635789
  Medicare reassignment Care Compare group NPD Authorized official
• Shelly Lynn Melody, FNP

  • Nurse Practitioner
  • Sequim, WA
  • NPI 1659134583
  Medicare reassignment Care Compare group NPD
• Daria Elizabeth Karas, PA-C

  • Physician Assistant
  • Hillsboro, OR
  • NPI 1174993463

  WA

  Medicare reassignment Care Compare group
• Naa Afadua Annoh

  • Adult Health Nurse Practitioner
  • Everett, WA
  • NPI 1588140073
  Medicare reassignment NPD
• Sophia Felder, MSN, FNP-C, IBCLC

  • Nurse Practitioner
  • Port Angeles, WA
  • NPI 1043722523
  Medicare reassignment NPD
• Randy Gene Banks, PA-C

  • Physician Assistant
  • Gulf Breeze, FL
  • NPI 1144248824

  WA

  Medicare reassignment
• David Paul Richardson Jr., PA-C

  • Physician Assistant
  • Medford, OR
  • NPI 1447622345

  WA

  Medicare reassignment

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1699947200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823201",
            "telephone_number": "360-681-6900",
            "fax_number": "360-681-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823201",
            "telephone_number": "360-681-6900",
            "fax_number": "360-681-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EYE & SKIN SURGEONS INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "NIEMEYER",
        "authorized_official_first_name": "AGNIESZKA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-681-6900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00048475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paragon Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Lacey Nolan, LMP
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• North Coast Nomad LLC
• North Olympic Family Practice
• Northwest Bras LLC
• Northwest Fitness LLC
• Northwest Massage and Holistic Healing Center
• Northwest Pain Relief Centers, LLC
• Shirley Ann Norton, PA-C
• Dawn Delisa Novotny, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.