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DERMATOLOGY & ALLERGY SPECIALISTS OF OLYMPIA
NPI 1497755797
Specialist in Olympia, WA

Active since July 28, 2005CLIA 50D0988718 · Certificate of Compliance
304 W BAY DR NW, SUITE 301, OLYMPIA, WA 98502(360) 413-8760(360) 413-8839 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dermatology & Allergy Specialists Of Olympia NPPES

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

DERMATOLOGY & ALLERGY SPECIALISTS OF OLYMPIA (NPI 1497755797) is a healthcare organization registered as a specialist in Olympia, Washington and active in the NPI registry since July 2005. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists J. Mark Bauer, Partner, as its authorized official.

NPPES Registry Identity

NPI1497755797
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY & ALLERGY SPECIALISTS
Location Address304 W BAY DR NW, SUITE 301Olympia, WA 98502-4958
Mailing Address304 W Bay Dr Nw, Suite 301Olympia, WA 98502-4953 · (360) 413-8760 · Fax (360) 413-8839
Phone(360) 413-8760
Fax(360) 413-8839
Organization SubpartNo
Authorized OfficialJ. Mark BauerPartner · (360) 413-8297
Enumeration DateJuly 28, 2005
Last NPPES UpdateOctober 22, 2013
✔ NPI 1497755797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
304 W BAY DR NW, Olympia, WA 98502
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Other Names 1

Other NameDermatology & Allergy Specialists Of Olympia

Other Identifiers 4

Medicare PINGAB20350WA
Medicare ID-Type UnspecifiedAB20350WA
OtherGAB20350WA · Medicare
Medicaid7105927WA

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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D0988718

Dermatology & Allergy Specialites PLLC · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D0988718
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 5, 2001
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJacob H. Bauer
Laboratory Phone(360) 413-8760
Laboratory LocationDermatology & Allergy Specialites PLLC304 West Bay Dr NW Ste 301, Olympia, WA 98502
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

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

DR. THERESA E. MADDEN & ASSOCIATES, PLLC
Clinic/Center (Dental)
304 W BAY DR NW, SUITE 201
OLYMPIA, WA 98502
Thurston County (360) 459-5900
SHAUNA M RICHERT MD
Dermatology
304 W BAY DR NW, SUITE 301
OLYMPIA, WA 98502
Thurston County (360) 413-8760
DR. JACOB HOWARD BAUER M.D.
Dermatology (MOHS-Micrographic Surgery)
304 W BAY DR NW, STE 301
OLYMPIA, WA 98502
Thurston County (360) 413-8760
JENNIFER E WINTER PA-C
Physician Assistant
304 W BAY DR NW, SUITE 301
OLYMPIA, WA 98502
Thurston County (360) 413-8760
SARRA VASHCHENKO PA-C
Physician Assistant
304 W BAY DR NW, SUITE 301
OLYMPIA, WA 98502
Thurston County (360) 413-8760
JOHN MARK BAUER MD
Dermatology
304 W BAY DR NW, SUITE 301
OLYMPIA, WA 98502
Thurston County (360) 413-8760
MR. ANDREA CIGLIOLA PA-C
Physician Assistant
304 W BAY DR NW
OLYMPIA, WA 98502
Thurston County (360) 413-8760

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 Dermatology & Allergy Specialists's NPI number?

The NPI number for Dermatology & Allergy Specialists is 1497755797. It was assigned to this organization in the NPPES registry on July 28, 2005. The provider is also known as Dermatology & Allergy Specialists Of Olympia.

Where is Dermatology & Allergy Specialists located?

Dermatology & Allergy Specialists is located at 304 W Bay Dr NW Suite 301, Olympia, WA 98502. The listed phone number is (360) 413-8760.

What is Dermatology & Allergy Specialists's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Dermatology & Allergy Specialists hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D0988718) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology & Allergy Specialists accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Dermatology & Allergy Specialists as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology & Allergy Specialists was last updated on October 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.