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
- 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.
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
- 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.
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.
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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. | |||||||||
1 | 5 | 8 | 8 | 8 | 9 | 7 | 1 | 0 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 16 | 8 | 16 | 9 | 14 | 1 | 0 | |
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 = 2 | 2 |
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
DR. BRITTON LEE GEORGES M.D.
Allergy & Immunology
(Allergy)
1515 116TH AVE NE
SUITE 207
BELLEVUE, WA
ZIP 98004
JOANNA B. SLOAN MD
Clinic/Center
1515 116TH AVE NE
SUITE 307
BELLEVUE, WA
ZIP 98004
NEUROSURGICAL CONSULTANTS OF WASHINGTON, INC P S
Neurological Surgery
1515 116TH AVE NE
SUITE 302
BELLEVUE, WA
ZIP 98004
BELLEVUE NEUROMUSCULAR DENTISTRY LLC
Dentist
(General Practice)
1515 116TH AVE NE
SUITE 303
BELLEVUE, WA
ZIP 98004
SOUND ACUPUNCTURE & HERBS, LLC
Acupuncturist
1515 116TH AVE NE
STE 109
BELLEVUE, WA
ZIP 98004
BELLEVUE OBGYN LLC
Obstetrics & Gynecology
1515 116TH AVE NE
205
BELLEVUE, WA
ZIP 98004
RESTORIX MEDICAL GROUP PLLC
Specialist
1515 116TH AVE NE
SUITE 300
BELLEVUE, WA
ZIP 98004
BELLEVUE HYPERBARICS,PLLC
Clinic/Center
(Medical Specialty)
1515 116TH AVE NE
SUITE 202
BELLEVUE, WA
ZIP 98004
DEETTA GRAY M.D., FAAD, FRCPC
Dermatology
1515 116TH AVE NE
STE 307
BELLEVUE, WA
ZIP 98004
MISS JESSICA ANN JONES
Massage Therapist
1515 116TH AVE NE
SUITE 109
BELLEVUE, WA
ZIP 98004
DR. KEVIN Y CHOI D.M.D.
Dentist
(Endodontics)
1515 116TH AVE NE
SUITE 301
BELLEVUE, WA
ZIP 98004
DR. JACOB D PERKINS D.C.
Chiropractor
1515 116TH AVE NE
SUITE 202
BELLEVUE, WA
ZIP 98004
JOHANN M YI DDS
Dentist
1515 116TH AVE NE
#206
BELLEVUE, WA
ZIP 98004
DR. JAMES F. ROSENWALD DDS
Dentist
(General Practice)
1515 116TH AVE NE
SUITE #305
BELLEVUE, WA
ZIP 98004
COHO MEDICAL GROUP, PLLC
Internal Medicine
1515 116TH AVE NE
SUITE 201
BELLEVUE, WA
ZIP 98004
A SMILING HEART DENTISTRY PLLC
Dentist
1515 116TH AVE NE
SUITE 106
BELLEVUE, WA
ZIP 98004
DAN SU FNP-C
Nurse Practitioner
(Family)
1515 116TH AVE NE
BELLEVUE, WA
ZIP 98004
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.