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

NPI Status: Active since June 25, 2007

Contact Information

1760 N 200 E STE 101
NORTH LOGAN, UT
ZIP 84341
Phone: (435) 787-0560
Fax: (435) 752-4673

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  • Organization
  • Dermatology
  • Accepts Insurance
  • CLIA Number: 46D1066021
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-12-2027

About ROCKY MOUNTAIN DERMATOLOGY INC

This page provides the complete NPI Profile along with additional information for Rocky Mountain Dermatology Inc, a provider established in North Logan, Utah operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1154527372 assigned on June 2007. The practitioner's primary taxonomy code is 207N00000X with license number 295172-1205 (UT). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Robert P Young M.d. (Owner)

NPI
1154527372
Provider Name
ROCKY MOUNTAIN DERMATOLOGY INC
Entity Type
Organization
Location Address
1760 N 200 E STE 101 NORTH LOGAN, UT 84341
Location Phone
(435) 787-0560
Location Fax
(435) 752-4673
Mailing Address
1760 N 200 E STE 101 NORTH LOGAN, UT 84341
Mailing Phone
(435) 787-0560
Mailing Fax
(435) 752-4673
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2007
Last Update Date
07-21-2022
Code Navigator

A dermatologist like Rocky Mountain Dermatology Inc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Secondary Locations

  • 1030 Medical Dr Ste A
    Brigham City, UT 84302
    (801) 827-9100
  • 434 E 5350 S Ste D
    Washington Terrace, UT 84405
    (801) 827-9100

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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
295172-1205
License State
UT
Taxonomy Description
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.

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)
1207NI0002XAllopathic & Osteopathic Physicians

Dermatology
Clinical & Laboratory Dermatological Immunology

295172-1205 (UT)
2207NP0225XAllopathic & Osteopathic Physicians

Dermatology
Pediatric Dermatology

295172-1205 (UT)
3207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

295172-1205 (UT)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Bronze 8000 - EPO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ROBERT P YOUNG M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(435) 787-0560

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
46D1066021
Facility Type
Physician Office
Certificate Effective Date
August 13, 2025
Certificate Expiration Date
August 12, 2027
Laboratory Director
ROBERT P. YOUNG
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Rocky Mountain Dermatology Inc 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 1154527372, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 5 → 10 → 1 5 → 10 → 1 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 0 + 2 + 1 + 4 + 3 + 1 + 4 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1154527372.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physician Assistant
1760 N 200 E STE 101
NORTH LOGAN, UT 84341
Physician Assistant
1760 N 200 E STE 101
NORTH LOGAN, UT 84341
Nurse Practitioner (Family)
1760 N 200 E STE 101
NORTH LOGAN, UT 84341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154527372, enumerated as an "organization" on June 25, 2007.

The provider is located at 1760 N 200 E STE 101 NORTH LOGAN, UT 84341 and the phone number is (435) 787-0560.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.