NW DERM AND SKIN CANCER CLC
NPI 1336292796
Dermatology in Edmonds, WA

Active since January 19, 2007
21600 HIGHWAY 99, SUITE 280, EDMONDS, WA 98026(425) 774-2616(425) 774-2660 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nw Derm And Skin Cancer Clc NPPES

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

NW DERM AND SKIN CANCER CLC (NPI 1336292796) is a healthcare organization registered as a dermatology in Edmonds, Washington and active in the NPI registry since January 2007. The organization lists John Lawrence Headley, Owner, as its authorized official.

NPPES Registry Identity

NPI1336292796
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNW DERMATOLOGY & SKIN CANCER CLINIC
Location Address21600 HIGHWAY 99, SUITE 280Edmonds, WA 98026-8012
Mailing Address21600 Highway 99, Suite 280Edmonds, WA 98026-8012 · (425) 774-2616 · Fax (425) 774-2660
Fax(425) 774-2660
Organization SubpartNo
Authorized OfficialJohn Lawrence HeadleyOwner · (425) 774-2616
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJune 25, 2008
NPI 1336292796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WA · 600 551-763
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.

21600 HIGHWAY 99, Edmonds, WA 98026

Other Names 1

Other NameNw Derm And Skin Cancer Clc

Other Identifiers 9

Medicare PIN8865740WA
Medicare PINAB06518WA
Medicare PINAB05156WA
Medicare PIN8869135WA
Medicare PIN8857077WA
Medicare PIN8864849WA
Medicare PIN8865473WA
Medicare PIN001255500WA
Medicare PIN001255501WA

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

Dermatology (MOHS-Micrographic Surgery)
21600 HIGHWAY 99, #280
EDMONDS, WA 98026
Dermatology (MOHS-Micrographic Surgery)
21600 HIGHWAY 99, STE 280
EDMONDS, WA 98026
Internal Medicine (Gastroenterology)
21600 HIGHWAY 99, SUITE 260
EDMONDS, WA 98026
Pediatrics
21600 HIGHWAY 99, SUITE 290
EDMONDS, WA 98026
Orthopaedic Surgery
21600 HIGHWAY 99, STE 150
EDMONDS, WA 98026
Physical Therapist
21600 HIGHWAY 99, STE 150
EDMONDS, WA 98026
Physician Assistant
21600 HIGHWAY 99, SUITE 280
EDMONDS, WA 98026
Physician Assistant
21600 HIGHWAY 99, SUITE 280
EDMONDS, WA 98026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336292796, enumerated as an "organization" on January 19, 2007.

The provider is located at 21600 HIGHWAY 99 SUITE 280 EDMONDS, WA 98026 and the phone number is (425) 774-2616.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.