Individual provider Active NPI

Aaron Pace, M.D.

  • Dermatology Physician
  • Tacoma, WA
National Provider Identifier
1760646129
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
60195226 Issued in WA
Practice address
1901 S Union Ave Ste B3003
Tacoma, WA 98405-1803
Phone
(253) 572-2842
NPI assigned
Jul 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 125052525 IL
Dermatology Physician 207N00000X 60195226 WA Primary

Addresses

Primary practice location

1901 S Union Ave Ste B3003
Tacoma, WA 98405-1803

Mailing address

1901 S Union Ave Ste B3003
Tacoma, WA 98405-1803
Phone (253) 572-2842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110909002724 WA Practitioner - Dermatology 3274703855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Loyola University of Chicago, Stritch School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pace Dermatology Associates, PLLCGroup PAC ID 5193995777, 14 clinicians

Practice addresses (Care Compare)

1901 S Union Ave
Suite B3003
Tacoma, WA 98405-1803

1910 S Meridian
Puyallup, WA 98371-7531
Phone (253) 572-2842

7502 Lakewood Dr W
Suite a
Lakewood, WA 98499-8410
Phone (253) 572-2842

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of skin lesions975
Removal of skin cancer163
Removal or shaving of skin growth1-10
Skin biopsy123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125052525ILMDDermatology Physician
60195226WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pace Dermatology Associates, PLLC Dermatology CurrentSince Jul 1, 2011 Accepting new patients

Locations

7502 Lakewood Dr W
Ste A
Lakewood, WA 98499
Phone (253) 572-2842

1910 S Meridian
Puyallup, WA 98371
Phone (253) 572-2842

1901 S Union Ave
Ste B3003
Tacoma, WA 98405
Phone (253) 572-2842

1802 S Union Ave
Tacoma, WA 98405
Phone (253) 572-2842

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1760646129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE STE B3003",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051803",
            "telephone_number": "253-572-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE STE B3003",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051803",
            "telephone_number": "253-572-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "AARON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "125052525",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "60195226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.