Valley Dermatology and Skin Cancer Center

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

602-733-981 Issued in WA

Legal business name

VALLEY DERMATOLOGY AND SKIN CANCER CENTER

Practice address

13512 E Mansfield Ave
Spokane Valley, WA 99216-1793

Phone

(509) 892-2480

Fax

(509) 892-6708

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott A Smith, D.O.NPI 1992803811

Title

Owner

Phone

(509) 892-2480

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 6

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

• Scott Allen Smith, DO

  • Dermatology Physician
  • Spokane Valley, WA
  • NPI 1992803811
  Medicare reassignment Care Compare group NPD Authorized official
• Maggie Makay Crockett, FNP-C

  • Nurse Practitioner
  • Spokane Valley, WA
  • NPI 1649089053
  Medicare reassignment Care Compare group NPD
• Paul D Hill, A.R.N.P.

  • Nurse Practitioner
  • Spokane, WA
  • NPI 1124160742
  Medicare reassignment Care Compare group NPD
• Jennifer Jordalen, PA-C

  • Medical Physician Assistant
  • Bellingham, WA
  • NPI 1659027753
  Medicare reassignment Care Compare group
• Alison Maxfield, PA-C

  • Physician Assistant
  • Spokane, WA
  • NPI 1629574645
  Medicare reassignment Care Compare group
• Sarah Rene Harwood, NP

  • Gerontology Nurse Practitioner
  • Coeur D Alene, ID
  • NPI 1528704889

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1972791226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13512 E MANSFIELD AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161793",
            "telephone_number": "509-892-2480",
            "fax_number": "509-892-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13512 E MANSFIELD AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161793",
            "telephone_number": "509-892-2480",
            "fax_number": "509-892-6708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 Garden Homes Dr",
            "address_purpose": "LOCATION",
            "city": "Colville",
            "state": "WA",
            "postal_code": "991149229",
            "country_code": "US",
            "telephone_number": "509-892-2480",
            "fax_number": "509-892-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY DERMATOLOGY AND SKIN CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-892-2480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": "602-733-981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camron Valdez
• Sabrina Valdez, PEER SUPPORT
• Shannon Valentine, ARNP
• Debra Ann Vallejo, MA
• Valley Careride LLC
• Valley Gastroenterology PS
• Valley Gastroenterology PS
• Valley Massage Clinic
• Valley Massage Clinic
• Valley Massage Investment Inc

• Dermatology Physician in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.