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MODERN DERMATOLOGY, PLLC
NPI 1790178010
Dermatology in Seattle, WA

Active since March 11, 2015CLIA 50D2095250 · Certificate of Compliance
1021 MERCER ST, SEATTLE, WA 98109(206) 486-2982(206) 973-5380 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modern Dermatology, Pllc NPPES

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

MODERN DERMATOLOGY, PLLC (NPI 1790178010) is a healthcare organization registered as a dermatology in Seattle, Washington and active in the NPI registry since March 2015. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Heather D Rogers, Owner, as its authorized official.

NPPES Registry Identity

NPI1790178010
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMODERN DERMATOLOGY, PLLC
Location Address1021 MERCER STSeattle, WA 98109
Mailing Address1021 Mercer StSeattle, WA 98109 · (205) 489-3206 · Fax (206) 973-5380
Phone(206) 486-2982
Fax(206) 973-5380
Organization SubpartNo
Authorized OfficialHeather D RogersOwner · (206) 486-2982
Enumeration DateMarch 11, 2015
Last NPPES UpdateAugust 4, 2022
NPPES CertifiedAugust 4, 2022
✔ NPI 1790178010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WA · 60048520
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.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
1021 MERCER ST, Seattle, WA 98109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Premera Blue Cross Blue Shield of Alaska.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 50D2095250

Modern Dermatology · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2095250
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorHeather D. Rogers
Laboratory Phone(206) 489-2530
Laboratory LocationModern Dermatology1021 Mercer St, Seattle, WA 98109
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 5

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

RICHARD B GRABOWSKI MD
Dermatology
1021 MERCER ST
SEATTLE, WA 98109
King County (206) 489-2530
DR. HEATHER D ROGERS MD
Dermatology
1021 MERCER ST
SEATTLE, WA 98109
King County (206) 489-2530
DR. JAMES CONNELLEY COLLYER M.D.
Dermatology
1021 MERCER ST
SEATTLE, WA 98109
King County (206) 489-2530
JOAN LEAVENS MD
Dermatology
1021 MERCER ST
SEATTLE, WA 98109
King County (206) 489-2530
ROBIN A GREEN WHIPPLE MD
Dermatology
1021 MERCER ST
SEATTLE, WA 98109
King County (206) 489-2530

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 Modern Dermatology, PLLC's NPI number?

The NPI number for Modern Dermatology, PLLC is 1790178010. It was assigned to this organization in the NPPES registry on March 11, 2015.

Where is Modern Dermatology, PLLC located?

Modern Dermatology, PLLC is located at 1021 Mercer St, Seattle, WA 98109. The listed phone number is (206) 486-2982.

What is Modern Dermatology, PLLC's specialty?

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

Does Modern Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D2095250) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Modern Dermatology, PLLC accept?

Health plans from Medica and Premera Blue Cross Blue Shield of Alaska list Modern Dermatology, PLLC 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 Modern Dermatology, PLLC was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.