NPIMap

Organization Active NPI

Benjamin Hsu, M.D.,P.S

Doing business as Northwest Dermatology

  • Dermatology Physician
  • Spokane, WA
National Provider Identifier
1750496642
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00033906 Issued in WA
Legal business name
BENJAMIN HSU, M.D.,P.S
Doing business as
Northwest Dermatology
Practice address
605 E Holland Ave
Ste 218
Spokane, WA 99218-2225
Phone
(509) 444-6367
Fax
(509) 444-6371
NPI assigned
Aug 20, 2006
Last updated
May 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Benjamin Hsu, M.D.NPI 1164401444
Title
Owner/Physician
Phone
(509) 444-6367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD00033906 WA Primary

Addresses

Primary practice location

605 E Holland Ave
Ste 218
Spokane, WA 99218-2225

Mailing address

605 E Holland Ave
Ste 218
Spokane, WA 99218-2225
Phone (509) 444-6367

Other identifiers 3

IdentifierTypeStateIssuer
1115013MedicaidWA
8856959OtherWAM GEFFKEN MEDICARE #
8440706MedicaidWA

Other names 1

  • Northwest Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318000817 WA Part B Supplier - Clinic/Group Practice 1254221617 Receives reassigned benefits from 7 practitioners
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

757 E Holland Ave
Spokane, WA 99218
Phone (509) 444-6367

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1750496642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E HOLLAND AVE",
            "address_2": "STE 218",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182225",
            "telephone_number": "509-444-6367",
            "fax_number": "509-444-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E HOLLAND AVE",
            "address_2": "STE 218",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182225",
            "telephone_number": "509-444-6367",
            "fax_number": "509-444-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN HSU, M.D.,P.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "509-444-6367",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00033906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1115013",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M GEFFKEN MEDICARE #",
            "identifier": "8856959",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8440706",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.