INTEGRATIVE DERMATOLOGY PA CLINIC
NPI 1821896804
Dermatology in Henderson, NV

Active since March 05, 2025
1110 ECHO PASS ST., HENDERSON, NV 89052(941) 840-1387 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Integrative Dermatology Pa Clinic NPPES

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

INTEGRATIVE DERMATOLOGY PA CLINIC (NPI 1821896804) is a healthcare organization registered as a dermatology in Henderson, Nevada and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Henderson and lists Feroza Thompson, Physician Associate, as its authorized official.

NPPES Registry Identity

NPI1821896804
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATIVE DERMATOLOGY PA CLINIC
Location Address1110 ECHO PASS ST.Henderson, NV 89052
Mailing Address7533 S Center View Ct Ste RWest Jordan, UT 84084-5526 · (941) 840-1387
Organization SubpartNo
Authorized OfficialFeroza ThompsonPhysician Associate · (941) 840-1387
Enumeration DateMarch 5, 2025
Last NPPES UpdateMarch 7, 2025
NPPES CertifiedMarch 5, 2025
NPI 1821896804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1110 ECHO PASS ST., Henderson, NV 89052

Secondary Practice Location 1

Location 11110 Echo Path St.Henderson, NV 89052 · Phone (941) 840-1387

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

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 Integrative Dermatology PA Clinic's NPI number?

The NPI number for Integrative Dermatology PA Clinic is 1821896804. It was assigned to this organization in the NPPES registry on March 5, 2025.

Where is Integrative Dermatology PA Clinic located?

Integrative Dermatology PA Clinic is located at 1110 Echo Pass St., Henderson, NV 89052. The listed phone number is (941) 840-1387.

What is Integrative Dermatology PA Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Integrative Dermatology PA Clinic was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.