PINNACLE DERMATOLOGY
NPI 1588897102
Dermatology in Bellevue, WA

NPI Status: Active since August 30, 2009

Contact Information

1515 116TH AVE NE
STE 307
BELLEVUE, WA
ZIP 98004
Phone: (425) 999-2628
Fax: (253) 559-9020

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  • Organization
  • Dermatology
  • Accepts Insurance
  • CLIA Number: 50D2201120
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About PINNACLE DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Pinnacle Dermatology, a provider established in Bellevue, Washington operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1588897102 assigned on August 2009. The practitioner's primary taxonomy code is 207N00000X with license number MD025209MD00035417 (WA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Deetta M Gray M.d. Faad Frcpc (Sole Member)

NPI
1588897102
Provider Name
PINNACLE DERMATOLOGY
Entity Type
Organization
Location Address
1515 116TH AVE NE STE 307 BELLEVUE, WA 98004
Location Phone
(425) 999-2628
Location Fax
(253) 559-9020
Mailing Address
PO BOX 3418 KIRKLAND, WA 98083
Mailing Phone
(425) 999-2628
Mailing Fax
(253) 559-9020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2009
Last Update Date
03-23-2015
Code Navigator

A dermatologist like Pinnacle Dermatology is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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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

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD025209MD00035417
License State
WA
Taxonomy Description
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.

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:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DEETTA M GRAY M.D. FAAD FRCPC

Authorized Official Title
SOLE MEMBER
Authorized Official Phone
(425) 999-2628

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
50D2201120
Facility Type
Physician Office
Certificate Effective Date
November 18, 2020
Certificate Expiration Date
April 04, 2028
Laboratory Director
DE ETTA GRAY
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Pinnacle Dermatology in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for PINNACLE DERMATOLOGY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588897102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251681691410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 1 + 4 + 1 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1588897102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

JF ROSENWALD DDS PS

Dentist

(General Practice)

1515 116TH AVE NE
SUITE 305
BELLEVUE, WA
ZIP 98004

(425) 454-4040

DR. BRITTON LEE GEORGES M.D.

Allergy & Immunology

(Allergy)

1515 116TH AVE NE
SUITE 207
BELLEVUE, WA
ZIP 98004

(425) 454-3329

JOANNA B. SLOAN MD

Clinic/Center

1515 116TH AVE NE
SUITE 307
BELLEVUE, WA
ZIP 98004

(425) 899-4300

NEUROSURGICAL CONSULTANTS OF WASHINGTON, INC P S

Neurological Surgery

1515 116TH AVE NE
SUITE 302
BELLEVUE, WA
ZIP 98004

(425) 456-0922

BELLEVUE NEUROMUSCULAR DENTISTRY LLC

Dentist

(General Practice)

1515 116TH AVE NE
SUITE 303
BELLEVUE, WA
ZIP 98004

(425) 637-1000

SOUND ACUPUNCTURE & HERBS, LLC

Acupuncturist

1515 116TH AVE NE
STE 109
BELLEVUE, WA
ZIP 98004

(425) 818-8248

BELLEVUE OBGYN LLC

Obstetrics & Gynecology

1515 116TH AVE NE
205
BELLEVUE, WA
ZIP 98004

(425) 698-1588

RESTORIX MEDICAL GROUP PLLC

Specialist

1515 116TH AVE NE
SUITE 300
BELLEVUE, WA
ZIP 98004

(425) 313-4800

BELLEVUE HYPERBARICS,PLLC

Clinic/Center

(Medical Specialty)

1515 116TH AVE NE
SUITE 202
BELLEVUE, WA
ZIP 98004

(425) 313-4800

DEETTA GRAY M.D., FAAD, FRCPC

Dermatology

1515 116TH AVE NE
STE 307
BELLEVUE, WA
ZIP 98004

(425) 999-2628

MISS JESSICA ANN JONES

Massage Therapist

1515 116TH AVE NE
SUITE 109
BELLEVUE, WA
ZIP 98004

(509) 899-1099

DR. KEVIN Y CHOI D.M.D.

Dentist

(Endodontics)

1515 116TH AVE NE
SUITE 301
BELLEVUE, WA
ZIP 98004

(425) 454-4582

DR. JACOB D PERKINS D.C.

Chiropractor

1515 116TH AVE NE
SUITE 202
BELLEVUE, WA
ZIP 98004

(425) 274-8989

JOHANN M YI DDS

Dentist

1515 116TH AVE NE
#206
BELLEVUE, WA
ZIP 98004

(425) 454-1225

DR. JAMES F. ROSENWALD DDS

Dentist

(General Practice)

1515 116TH AVE NE
SUITE #305
BELLEVUE, WA
ZIP 98004

(425) 454-4040

COHO MEDICAL GROUP, PLLC

Internal Medicine

1515 116TH AVE NE
SUITE 201
BELLEVUE, WA
ZIP 98004

(425) 223-5892

A SMILING HEART DENTISTRY PLLC

Dentist

1515 116TH AVE NE
SUITE 106
BELLEVUE, WA
ZIP 98004

(425) 455-0981

DAN SU FNP-C

Nurse Practitioner

(Family)

1515 116TH AVE NE
BELLEVUE, WA
ZIP 98004

(425) 349-0273

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588897102, enumerated as an "organization" on August 30, 2009.

The provider is located at 1515 116TH AVE NE STE 307 BELLEVUE, WA 98004 and the phone number is (425) 999-2628.

Dermatology with taxonomy code 207N00000X.

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