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ROXYANN DERMATOLOGY, LLC
NPI 1699392985
Dermatology in Medford, OR

Active since July 02, 2020CLIA 38D2198475 · Certificate of Compliance
3210 HILLCREST PARK DR STE 100, MEDFORD, OR 97504(541) 261-6412 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roxyann Dermatology, Llc NPPES

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

ROXYANN DERMATOLOGY, LLC (NPI 1699392985) is a healthcare organization registered as a dermatology in Medford, Oregon and active in the NPI registry since July 2020. The organization holds a CLIA Certificate of Compliance certificate valid through May 17, 2027 and lists Liliana Rayburn, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1699392985
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameROXYANN DERMATOLOGY, LLC
Location Address3210 HILLCREST PARK DR STE 100Medford, OR 97504-7687
Mailing Address6200 Hillcrest RdMedford, OR 97504-9037 · (541) 261-6412
Phone(541) 261-6412
Organization SubpartNo
Authorized OfficialLiliana RayburnOffice Manager · (541) 261-6412
Enumeration DateJuly 2, 2020
NPPES CertifiedJuly 2, 2020
✔ NPI 1699392985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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.
3210 HILLCREST PARK DR STE 100, Medford, OR 97504
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Other Identifiers 1

Medicaid226802OR

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 BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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 38D2198475

Roxyann Dermatology LLC · Medford, OR
Active · expires May 17, 2027
CLIA Number38D2198475
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorDr. Jeri K. Mendelson
Laboratory Phone(541) 772-0278
Laboratory LocationRoxyann Dermatology LLC3210 Hillcrest Park Dr Suite 100, Medford, OR 97504
CLIA data matches this NPI record on: Address Name
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

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

DR. JERI KERSTEN MENDELSON M.D.
Specialist
3210 HILLCREST PARK DR STE 100
MEDFORD, OR 97504
Jackson County (541) 772-0278

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 Roxyann Dermatology, LLC's NPI number?

The NPI number for Roxyann Dermatology, LLC is 1699392985. It was assigned to this organization in the NPPES registry on July 2, 2020.

Where is Roxyann Dermatology, LLC located?

Roxyann Dermatology, LLC is located at 3210 Hillcrest Park Dr Ste 100, Medford, OR 97504. The listed phone number is (541) 261-6412.

What is Roxyann Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Roxyann Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 38D2198475) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Roxyann Dermatology, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Roxyann Dermatology, LLC 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 Roxyann Dermatology, LLC was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.