PACIFIC DERMATOLOGY INC
NPI 1417101569
Dermatology in Wailuku, HI

Active since November 14, 2008
99 S MARKET ST STE 206, WAILUKU, HI 96793(808) 249-8600 Get Directions Write a Review

NPPES record last updated: January 31, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Dermatology Inc NPPES

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

PACIFIC DERMATOLOGY INC (NPI 1417101569) is a healthcare organization registered as a dermatology in Wailuku, Hawaii and active in the NPI registry since November 2008. The organization lists Jac Daniel Marden, President/physician, as its authorized official.

NPPES Registry Identity

NPI1417101569
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePACIFIC DERMATOLOGY INC
Location Address99 S MARKET ST STE 206Wailuku, HI 96793-2259
Mailing Address99 S Market St Ste 206Wailuku, HI 96793-2259 · (808) 249-8600
Organization SubpartYesParent: Pacific Dermatology, Inc.
Authorized OfficialJac Daniel MardenPresident/physician · (808) 249-8600
Enumeration DateNovember 14, 2008
Last NPPES UpdateJanuary 31, 2009
NPI 1417101569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
99 S MARKET ST STE 206, Wailuku, HI 96793

Other Identifiers 2

Medicare UPINF86325
Medicare PIN322862

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

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

Dermatology
99 S MARKET ST STE 206
WAILUKU, HI 96793

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 Pacific Dermatology Inc's NPI number?

The NPI number for Pacific Dermatology Inc is 1417101569. It was assigned to this organization in the NPPES registry on November 14, 2008.

Where is Pacific Dermatology Inc located?

Pacific Dermatology Inc is located at 99 S Market St Ste 206, Wailuku, HI 96793. The listed phone number is (808) 249-8600.

What is Pacific Dermatology Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Pacific Dermatology Inc was last updated on January 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.