MOUNTAIN WEST DERM - BLACKHART PLLC
NPI 1619517539
Clinic/Center - Ambulatory Surgical in Spokane Valley, WA

Q: What is Mountain West Derm - Blackhart PLLC's NPI number?

The NPI number for Mountain West Derm - Blackhart PLLC is 1619517539. It was assigned to this organization in the NPPES registry on January 8, 2020. The provider is doing business as Advanced Dermatology & Skin Surgery.

Q: What is Mountain West Derm - Blackhart PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since January 08, 2020

1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 99212(509) 456-7414(509) 624-0764 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mountain West Derm - Blackhart Pllc NPPES

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

MOUNTAIN WEST DERM - BLACKHART PLLC (NPI 1619517539), doing business as Advanced Dermatology & Skin Surgery, is a healthcare organization registered as an ambulatory surgical in Spokane Valley, Washington and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Coeur D Alene and lists Bret S Blackhart, Owner, as its authorized official.

NPPES Registry Identity

NPI1619517539

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMOUNTAIN WEST DERM - BLACKHART PLLC

Location Address1807 N HUTCHINSON RDSpokane Valley, WA 99212-2444

Mailing Address1807 N Hutchinson RdSpokane Valley, WA 99212-2444 · (509) 456-7414 · Fax (509) 624-0764

Phone(509) 456-7414

Fax(509) 624-0764

Organization SubpartNo

Authorized OfficialBret S BlackhartOwner · (775) 336-3624

Enumeration DateJanuary 8, 2020

✔ NPI 1619517539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1807 N HUTCHINSON RD, Spokane Valley, WA 99212

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Other Names 1

Doing Business AsAdvanced Dermatology & Skin Surgery

Secondary Practice Location 1

Location 11700 W Riverstone DrCoeur D Alene, ID 83814-5683 · Phone (208) 770-2822 · Fax (208) 770-2911

Accepted Insurance

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 15260

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

192 services187 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041

This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.

111 services108 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

84 services83 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

63 services63 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

62 services61 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm 14061

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by transferring skin from another part of the body. The size of the skin transferred will be between 10.1 to 30.0 square centimeters. It is performed to restore function and appearance.

56 services55 patients

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Other Providers at the Same Location NPPES 19

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

MOUNTAIN WEST DERM - BLACKHART PLLC

Dermatology