FAIRHAVEN DERMATOLOGY, PLLC
NPI 1336693902
Dermatology in Bellingham, WA
NPI Status: Active since August 11, 2016
Contact Information
3105 OLD FAIRHAVEN PKWY, SUITE 101
BELLINGHAM, WA
ZIP 98225
Phone: (360) 656-6278
Fax: (360) 778-1804
- Organization
- Dermatology
- Accepts Insurance
About FAIRHAVEN DERMATOLOGY, PLLC
This page provides the complete NPI Profile along with additional information for Fairhaven Dermatology, Pllc, a provider established in Bellingham, Washington operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1336693902 assigned on August 2016. The practitioner's primary taxonomy code is 207N00000X with license number 603616109 (WA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Fairhaven Dermatology, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Thomas J. Langei Md (Owner)
- NPI
- 1336693902
- Provider Name
- FAIRHAVEN DERMATOLOGY, PLLC
- Entity Type
- Organization
- Location Address
- 3105 OLD FAIRHAVEN PKWY, SUITE 101 BELLINGHAM, WA 98225
- Location Phone
- (360) 656-6278
- Location Fax
- (360) 778-1804
- Mailing Address
- 3105 OLD FAIRHAVEN PKWY, SUITE 101 BELLINGHAM, WA 98225
- Mailing Fax
- (360) 778-1804
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-11-2016
- Last Update Date
- 04-25-2019
- Code Navigator
A dermatologist like Fairhaven Dermatology, Pllc 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
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.
- 603616109
- License State
- WA
- 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) |
|---|---|---|---|---|
| 1 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology | 603616109 (WA) |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 603616109 (WA) |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2073078 | MEDICAID (05) | WA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 6 | 9 | 3 | 9 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 12 | 9 | 6 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 2 + 9 + 6 + 9 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1336693902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
MS. CORINNE E SAYLER PA-C
Physician Assistant
3105 OLD FAIRHAVEN PKWY, SUITE 101
BELLINGHAM, WA
ZIP 98225
THOMAS J. LANGEI MD
Dermatology
3105 OLD FAIRHAVEN PKWY, SUITE 101
BELLINGHAM, WA
ZIP 98225
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336693902, enumerated as an "organization" on August 11, 2016.
The provider is located at 3105 OLD FAIRHAVEN PKWY, SUITE 101 BELLINGHAM, WA 98225 and the phone number is (360) 656-6278.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
