1. Home
  2. Directory
  3. Colorado
  4. Wellington
  5. Clinic Center
  6. NPI Profile

WYCO DERM LLC
NPI 1043085020
Clinic/Center - Medical Specialty in Wellington, CO

Active since November 20, 2023CLIA Certified · 2 labs
8305 WELLINGTON BLVD UNIT 102, WELLINGTON, CO 80549(307) 635-8299(307) 635-6984 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wyco Derm Llc NPPES

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

WYCO DERM LLC (NPI 1043085020), doing business as Seitz Dermatology, is a healthcare organization registered as a medical specialty in Wellington, Colorado and active in the NPI registry since November 2023. The organization holds 2 active CLIA laboratory certificates and lists Gregory W Seitz, Owner, as its authorized official.

NPPES Registry Identity

NPI1043085020
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameWYCO DERM LLC
Location Address8305 WELLINGTON BLVD UNIT 102Wellington, CO 80549-2399
Mailing Address2112 Seymour AveCheyenne, WY 82001-3830 · (307) 635-8299 · Fax (307) 635-6984
Phone(307) 635-8299
Fax(307) 635-6984
Organization SubpartNo
Authorized OfficialGregory W SeitzOwner · (307) 635-8299
Enumeration DateNovember 20, 2023
NPPES CertifiedNovember 20, 2023
✔ NPI 1043085020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedNurse PractitionerTaxonomy 363L00000X
8305 WELLINGTON BLVD UNIT 102, Wellington, CO 80549
Open in Google Maps ↗

Other Names 1

Doing Business AsSeitz Dermatology

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 06D2297085

Wyco Derm, LLC Dba Seitz Dermatology · Wellington, CO
Active · expires Aug 19, 2026
CLIA Number06D2297085
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorGregory Seitz
Laboratory Phone(307) 635-8299
Laboratory LocationWyco Derm, LLC Dba Seitz Dermatology8305 Wellington Blvd, Wellington, CO 80549
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 06D2337331

Wycoderm LLC · Timnath, CO
Active · expires Jan 20, 2028
CLIA Number06D2337331
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorGregory Seitz
Laboratory Phone(307) 635-8299
Laboratory LocationWycoderm LLC5451 E Harmony Rd, Building 2 Unit 109, Timnath, CO 80547
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCES COLLEEN BASHAM MSN, APRN, FNP-C
Nurse Practitioner (Family)
8305 WELLINGTON BLVD UNIT 102
WELLINGTON, CO 80549
Larimer County (970) 222-6794

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 Wyco Derm LLC's NPI number?

The NPI number for Wyco Derm LLC is 1043085020. It was assigned to this organization in the NPPES registry on November 20, 2023. The provider is doing business as Seitz Dermatology.

Where is Wyco Derm LLC located?

Wyco Derm LLC is located at 8305 Wellington Blvd Unit 102, Wellington, CO 80549. The listed phone number is (307) 635-8299.

What is Wyco Derm LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Wyco Derm LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Wyco Derm LLC was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.