PROVIDENCE DERMATOLOGY LLC
NPI 1568029957
Dermatology in Providence, UT
About Providence Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE DERMATOLOGY LLC (NPI 1568029957), doing business as Providence Dermatology, is a healthcare organization registered as a dermatology in Providence, Utah and active in the NPI registry since May 2019. The organization holds a CLIA Certificate of Compliance certificate valid through June 7, 2027, maintains a secondary practice location in Brigham City, and lists Travis S James, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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.
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted 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 46D2171742
Providence Dermatology · Providence, UTOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PROVIDENCE, UT 84332
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568029957, enumerated as an "organization" on May 22, 2019.
The provider is located at 169 N GATEWAY DR STE 100 PROVIDENCE, UT 84332 and the phone number is (541) 999-4475.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.
