ADVANCED DERMATOLOGY OF WYOMING, INC
NPI 1427408319
Dermatology in Jackson, WY

Active since June 21, 2016
62 SOUTH REDMOND STREET, JACKSON, WY 83001(307) 734-5864 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Advanced Dermatology Of Wyoming, Inc NPPES

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

ADVANCED DERMATOLOGY OF WYOMING, INC (NPI 1427408319) is a healthcare organization registered as a dermatology in Jackson, Wyoming and active in the NPI registry since June 2016. The organization lists Linda Crandall, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1427408319
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF WYOMING, INC
Location Address62 SOUTH REDMOND STREETJackson, WY 83001-8664
Mailing AddressPo Box 7406Jackson, WY 83002-7406 · (307) 734-5864
Organization SubpartNo
Authorized OfficialLinda CrandallCredentialing Coordinator · (970) 484-3050
Enumeration DateJune 21, 2016
Last NPPES UpdateOctober 6, 2016
NPI 1427408319 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.

62 SOUTH REDMOND STREET, Jackson, WY 83001

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

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427408319, enumerated as an "organization" on June 21, 2016.

The provider is located at 62 SOUTH REDMOND STREET JACKSON, WY 83001 and the phone number is (307) 734-5864.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming. Please consult your insurance carrier or call the provider to verify.