Dermatology Clinic of Spokane, P.C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY CLINIC OF SPOKANE, P.C

Practice address

309 E Farwell Rd Ste 206
Spokane, WA 99218-8208

Phone

(509) 484-4591

Fax

(509) 484-7882

NPI assigned

Oct 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. William Andrew Wray, MDNPI 1245209394

Title

Owner/Physician

Phone

(509) 484-4591

Specialties & licenses 1

Addresses

Other names 1

• William A. Wray. MD. PLLC Former legal business name

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

Practitioners 2

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

• William A Wray, M.D.

  • Dermatology Physician
  • Spokane, WA
  • NPI 1245209394
  Medicare reassignment Care Compare group NPD Authorized official
• Irene Gerda Bayer, P.A.

  • Physician Assistant
  • Spokane, WA
  • NPI 1578995288
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1992348619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E FARWELL RD STE 206",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992188208",
            "telephone_number": "509-484-4591",
            "fax_number": "509-484-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E FARWELL RD STE 206",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992188208",
            "telephone_number": "509-484-4591",
            "fax_number": "509-484-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CLINIC OF SPOKANE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "509-484-4591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William A. Wray. MD. PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lynn Dee Derby, M.D.
• Mary M Derby
• Paul Derenzo, LMHCA
• Derive Family Therapy
• Laura Derleth, PT
• Dermatology Specialists of Spokane
• Kasha Nichole Deroos, LM, CPM
• Ashley Frances Derosier
• Willard Douglas Derouen Jr.
• Sydni Derr

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.