Advanced Dermatology and Skin Surgery PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

291U00000X Issued in WA

Legal business name

ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC

Practice address

1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444

Phone

(509) 456-7414

Fax

(509) 624-0763

NPI assigned

Feb 28, 2006

Last updated

Jun 16, 2018By 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

Joel K Sears, M.D.NPI 1184699365

Title

Medical Director

Phone

(509) 456-7414

Specialties & licenses 1

Addresses

Other identifiers 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.

• Joel K Sears, M.D.

  • Procedural Dermatology Physician
  • Spokane Valley, WA
  • NPI 1184699365
  Authorized official Same address or phone
• Jeanne M Ellern, PAC

  • Medical Physician Assistant
  • Spokane Valley, WA
  • NPI 1689636649
  NPD
• Elizabeth Joan Jacobsen, PA-C

  • Medical Physician Assistant
  • Spokane Valley, WA
  • NPI 1154408631
  NPD
• Amy Nicole Nelson, PA-C

  • Medical Physician Assistant
  • Seattle, WA
  • NPI 1265480818
  NPD
• Brenda Kay Wilks, PA-C

  • Physician Assistant
  • Deer Park, WA
  • NPI 1386996056
  NPD
• Jacob A Wolff, PAC MHS

  • Physician Assistant
  • Spokane, WA
  • NPI 1164513305
  NPD
• Scott B Ahrndt, PA

  • Physician Assistant
  • Sebastian, FL
  • NPI 1346394491
  NPD

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1972579845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 N HUTCHINSON RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122444",
            "telephone_number": "509-456-7414",
            "fax_number": "509-624-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 N HUTCHINSON RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122444",
            "telephone_number": "509-456-7414",
            "fax_number": "509-624-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SEARS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "509-456-7414",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "291U00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00214266",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Lee Adkisson
• Girma Admasu
• Farhad Adorbehi, HOME HEALTHCARE
• Advanced Allergy Asthma & Immunology
• Advanced Behavioral Health LLC
• Advanced Dermatology and Skin Surgery, PLLC
• Advanced Dermatology and Skin Surgery, PLLC
• Advanced Wound Therapy-Wa, PLLC
• Gino Agostinelli, LMP
• Sarai Aguilar

• Clinical Medical Laboratory in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Clinical Medical Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.