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BAINBRIDGE SKIN SURGERY AND CONSULTATIVE DERMATOLOGY PLLC
NPI 1033500806
Dermatology - MOHS-Micrographic Surgery in Bainbridge Island, WA

Active since February 13, 2015
271 WYATT WAY NE, SUITE 108, BAINBRIDGE ISLAND, WA 98110(206) 842-5666(425) 742-8516 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bainbridge Skin Surgery And Consultative Dermatology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAINBRIDGE SKIN SURGERY AND CONSULTATIVE DERMATOLOGY PLLC (NPI 1033500806) is a healthcare organization registered as a mohs-micrographic surgery in Bainbridge Island, Washington and active in the NPI registry since February 2015. The organization lists Duane C Whitaker, Owner, as its authorized official.

NPPES Registry Identity

NPI1033500806
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameBAINBRIDGE SKIN SURGERY AND CONSULTATIVE DERMATOLOGY PLLC
Location Address271 WYATT WAY NE, SUITE 108Bainbridge Island, WA 98110-2873
Mailing Address271 Wyatt Way Ne, Suite 108Bainbridge Island, WA 98110-2873 · (206) 842-5666 · Fax (425) 742-8516
Phone(206) 842-5666
Fax(425) 742-8516
Organization SubpartNo
Authorized OfficialDuane C WhitakerOwner · (206) 842-5666
Enumeration DateFebruary 13, 2015
Last NPPES UpdateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
✔ NPI 1033500806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in WA · 46124
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License 46124 (WA)
271 WYATT WAY NE, Bainbridge Island, WA 98110
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bainbridge Skin Surgery And Consultative Dermatology PLLC's NPI number?

The NPI number for Bainbridge Skin Surgery And Consultative Dermatology PLLC is 1033500806. It was assigned to this organization in the NPPES registry on February 13, 2015.

Where is Bainbridge Skin Surgery And Consultative Dermatology PLLC located?

Bainbridge Skin Surgery And Consultative Dermatology PLLC is located at 271 Wyatt Way NE Suite 108, Bainbridge Island, WA 98110. The listed phone number is (206) 842-5666.

What is Bainbridge Skin Surgery And Consultative Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Bainbridge Skin Surgery And Consultative Dermatology PLLC was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.