RUSSELLVILLE DERMATOLOGY CLINIC PA
NPI 1477529436
Dermatology - Procedural Dermatology in Russellville, AR
NPI Status: Active since February 28, 2006
Contact Information
1602 W MAIN ST
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 968-6969
Fax: (479) 968-4290
- Organization
- Dermatology
- Procedural Dermatology
- CLIA Number: 04D2108006
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-21-2027
About RUSSELLVILLE DERMATOLOGY CLINIC PA
This page provides the complete NPI Profile along with additional information for Russellville Dermatology Clinic Pa, a provider established in Russellville, Arkansas operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1477529436 assigned on February 2006. The practitioner's primary taxonomy code is 207NS0135X with license number MC0841 (AR). The provider is registered as an organization and their NPI record was last updated 3 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 Dr. William W Galloway M.d. (President / Owner)
- NPI
- 1477529436
- Provider Name
- RUSSELLVILLE DERMATOLOGY CLINIC PA
- Entity Type
- Organization
- Location Address
- 1602 W MAIN ST RUSSELLVILLE, AR 72801
- Location Phone
- (479) 968-6969
- Location Fax
- (479) 968-4290
- Mailing Address
- PO BOX 843 RUSSELLVILLE, AR 72811
- Mailing Phone
- (479) 968-6969
- Mailing Fax
- (479) 968-4290
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-28-2006
- Last Update Date
- 03-07-2023
- Code Navigator
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 Procedural Dermatology
- Taxonomy Code
- 207NS0135X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MC0841
- License State
- AR
- Taxonomy Description
- Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Group Taxonomy 193400000X 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:
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 |
|---|---|---|---|
| 110005002 | MEDICAID (05) | AR |
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
- 04D2108006
- Facility Type
- Physician Office
- Certificate Effective Date
- February 22, 2025
- Certificate Expiration Date
- February 21, 2027
- Laboratory Director
- DR. NEYLON PILKINGTON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Russellville Dermatology Clinic Pa 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 1477529436, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
RUSSELLVILLE, AR 72801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477529436, enumerated as an "organization" on February 28, 2006.
The provider is located at 1602 W MAIN ST RUSSELLVILLE, AR 72801 and the phone number is (479) 968-6969.
Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
