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

NPI Status: Active since November 20, 2023

Contact Information

8305 WELLINGTON BLVD UNIT 102
WELLINGTON, CO
ZIP 80549
Phone: (307) 635-8299
Fax: (307) 635-6984

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • CLIA Number: 06D2297085
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-19-2026

About WYCO DERM LLC

This page provides the complete NPI Profile along with additional information for Wyco Derm Llc, a provider established in Wellington, Colorado operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1043085020 assigned on November 2023. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Wyco Derm Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Gregory W Seitz Md (Owner)

NPI
1043085020
Provider Name
WYCO DERM LLC
Entity Type
Organization
Location Address
8305 WELLINGTON BLVD UNIT 102 WELLINGTON, CO 80549
Location Phone
(307) 635-8299
Location Fax
(307) 635-6984
Mailing Address
2112 SEYMOUR AVE CHEYENNE, WY 82001
Mailing Phone
(307) 635-8299
Mailing Fax
(307) 635-6984
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2023
Last Update Date
11-20-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

 
2207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

 
3363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GREGORY W SEITZ MD

Authorized Official Title
OWNER
Authorized Official Phone
(307) 635-8299

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2297085
Facility Type
Physician Office
Certificate Effective Date
August 20, 2024
Certificate Expiration Date
August 19, 2026
Laboratory Director
GREGORY SEITZ
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Wyco Derm Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043085020, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 0 → 0 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 0 + 8 + 1 + 0 + 0 + 4 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1043085020.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
8305 WELLINGTON BLVD UNIT 102
WELLINGTON, CO 80549

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043085020, enumerated as an "organization" on November 20, 2023.

The provider is located at 8305 WELLINGTON BLVD UNIT 102 WELLINGTON, CO 80549 and the phone number is (307) 635-8299.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.