Arboretum Dermatology Seattle, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ARBORETUM DERMATOLOGY SEATTLE, PLLC

Practice address

3131 E Madison St Ste 205
Seattle, WA 98112-4266

Phone

(206) 462-5850

Fax

(206) 487-5150

NPI assigned

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

Nicki Pethes

Title

Credentialing Analyst

Phone

(715) 523-2485

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.

• Carmen M Berger, MD

  • Dermatology Physician
  • Seattle, WA
  • NPI 1588749691
  Medicare reassignment Care Compare group NPD
• Rebecca Patton, PA-C

  • Medical Physician Assistant
  • Seattle, WA
  • NPI 1144289828
  Medicare reassignment Care Compare group
• Allison Dianne Risley, PA-C

  • Physician Assistant
  • Seattle, WA
  • NPI 1215403100
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1982129490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 MCGILVRA BLVD E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123123",
            "telephone_number": "206-919-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 E MADISON ST STE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124266",
            "telephone_number": "206-462-5850",
            "fax_number": "206-487-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBORETUM DERMATOLOGY SEATTLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "PETHES",
        "authorized_official_first_name": "NICKI",
        "authorized_official_title_or_position": "CREDENTIALING ANALYST",
        "authorized_official_telephone_number": "715-523-2485"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marissa Araw, MD
• Francesco Fernando Araya, PA C
• Saman Arbabi, MD
• Arbor Heights Clinic, P S
• Arbor Hills Wellness
• Matthew David Arbuckle, PA-C
• Arc Medical Rehab Washington P.C.
• Arcadia Eye Clinic PC
• Jessica Arcaina
• Brandell M Arce

• Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.