Mercer Island Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MERCER ISLAND DERMATOLOGY PLLC

Practice address

2835 82ND Ave SE
Suite 210
Mercer Island, WA 98040-3055

Phone

(206) 236-3030

Fax

(206) 204-0808

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Allison Hughes, MD, PHDNPI 1194777805

Title

Owner

Phone

(206) 236-3030

Specialties & licenses 1

Addresses

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 3

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

• Allison Leslie Hughes, MD, PHD

  • Dermatology Physician
  • Mercer Island, WA
  • NPI 1194777805
  Medicare reassignment Care Compare group NPD Authorized official
• Alicia F Stark, RN, BSN, APN

  • Nurse Practitioner
  • Aurora, CO
  • NPI 1508095001

  WA

  Medicare reassignment Care Compare group NPD
• Joanna Le Nguyen, PA-C

  • Physician Assistant
  • Tacoma, WA
  • NPI 1962808915
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1801089644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 82ND AVE SE",
            "address_2": "SUITE 210",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403055",
            "telephone_number": "206-236-3030",
            "fax_number": "206-204-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 82ND AVE SE",
            "address_2": "SUITE 210",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403055",
            "telephone_number": "206-236-3030",
            "fax_number": "206-204-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER ISLAND DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-236-3030",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Ann McIntyre
• Dina Elaine McNeil, DNP, ARNP
• Meagan M Hyde, LLC
• Krista Lynn Meeks, ARNP
• Mercer Island Acupuncture & Oriental Medicine
• Mercer Island Eyeworks Inc
• Mercer Island Family Medicine, PLLC
• Mercer Island Foot and Ankle Clinic PLLC
• Mercer Island Health and Wellness
• Mercer Island Medical Imaging, LLC

• Dermatology Physician in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.