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ROCKY MOUNTAIN DERMATOLOGY INC
NPI 1154527372
Dermatology in North Logan, UT

Active since June 25, 2007CLIA Certified · 4 labs
1760 N 200 E STE 101, NORTH LOGAN, UT 84341(435) 787-0560(435) 752-4673 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 18, 2018, Aug 23, 2017 (3 updates tracked since 2017).

About Rocky Mountain Dermatology Inc NPPES

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

ROCKY MOUNTAIN DERMATOLOGY INC (NPI 1154527372) is a healthcare organization registered as a dermatology in North Logan, Utah and active in the NPI registry since June 2007. The organization holds 4 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Robert P Young, Owner, as its authorized official.

NPPES Registry Identity

NPI1154527372
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameROCKY MOUNTAIN DERMATOLOGY INC
Location Address1760 N 200 E STE 101North Logan, UT 84341
Mailing Address1760 N 200 E Ste 101North Logan, UT 84341-1202 · (435) 787-0560 · Fax (435) 752-4673
Phone(435) 787-0560
Fax(435) 752-4673
Organization SubpartNo
Authorized OfficialRobert P YoungOwner · (435) 787-0560
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1154527372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in UT · 295172-1205
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X · License 295172-1205 (UT)
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License 295172-1205 (UT)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 295172-1205 (UT)
1760 N 200 E STE 101, North Logan, UT 84341
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Secondary Practice Locations 2

Location 11030 Medical Dr Ste ABrigham City, UT 84302-3276 · Phone (801) 827-9100 · Fax (801) 827-9110
Location 2434 E 5350 S Ste DWashington Terrace, UT 84405-5417 · Phone (801) 827-9100 · Fax (801) 827-9110

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 46D0948038

Rocky Mountain Dermatology · North Logan, UT
Active · expires Sep 30, 2026
CLIA Number46D0948038
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorRobert P. Young
Laboratory Phone(435) 787-0560
Laboratory LocationRocky Mountain Dermatology1760 North 200 East Suite 101, North Logan, UT 84341
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 Waiver 46D2301575

Rocky Mountain Dermatology · Tremonton, UT
Active · expires Mar 27, 2028
CLIA Number46D2301575
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorRobert P. Young
Laboratory Phone(435) 787-0560
Laboratory LocationRocky Mountain Dermatology55 N 775 E, Tremonton, UT 84337
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 46D1066021

Rocky Mountain Dermatology · Washington Terrace, UT
Active · expires Aug 12, 2027
CLIA Number46D1066021
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorRobert P. Young
Laboratory Phone(801) 827-9100
Laboratory LocationRocky Mountain Dermatology5748 S Adams Ave Parkway, Suite B, Washington Terrace, UT 84405
CLIA data matches this NPI record on: 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 Waiver 46D2238041

Rocky Mountain Dermatology · Brigham City, UT
Active · expires Jun 6, 2027
CLIA Number46D2238041
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorRobert P. Young
Laboratory Phone(801) 827-9100
Laboratory LocationRocky Mountain Dermatology984 S Medical Dr Ste 4, Brigham City, UT 84302
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SYDNIE M HOBBS APRN
Nurse Practitioner (Family)
1760 N 200 E STE 101
NORTH LOGAN, UT 84341
Cache County (435) 787-0560
ANGELA KARLINA CRONIN PA
Physician Assistant
1760 N 200 E STE 101
NORTH LOGAN, UT 84341
Cache County (435) 787-0560
SCOTT MACDONALD PA-C
Physician Assistant
1760 N 200 E STE 101
NORTH LOGAN, UT 84341
Cache County (435) 787-0560

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 Rocky Mountain Dermatology Inc's NPI number?

The NPI number for Rocky Mountain Dermatology Inc is 1154527372. It was assigned to this organization in the NPPES registry on June 25, 2007.

Where is Rocky Mountain Dermatology Inc located?

Rocky Mountain Dermatology Inc is located at 1760 N 200 E Ste 101, North Logan, UT 84341. The listed phone number is (435) 787-0560.

What is Rocky Mountain Dermatology Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Rocky Mountain Dermatology Inc hold CLIA laboratory certificates?

Yes. 4 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.

What insurance does Rocky Mountain Dermatology Inc accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Rocky Mountain Dermatology Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rocky Mountain Dermatology Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.