SOUTH VALLEY DERMATOLOGY
NPI 1871733238
Specialist in Evanston, WY

Q: What is Pilot Butte Dermatology, L.C.'s NPI number?

The NPI number for Pilot Butte Dermatology, L.C. is 1871733238. It was assigned to this organization in the NPPES registry on February 25, 2009. The provider is also known as South Valley Dermatology.

Q: What is Pilot Butte Dermatology, L.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 25, 2009

196 ARROWHEAD DR, SUITE 5, EVANSTON, WY 82930(877) 689-0005(801) 565-7931 Get Directions Write a Review

NPPES record last updated: March 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About South Valley Dermatology NPPES

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

SOUTH VALLEY DERMATOLOGY (NPI 1871733238) is a healthcare organization registered as a specialist in Evanston, Wyoming and active in the NPI registry since February 2009. The organization lists Douglass W. Forsha, President, as its authorized official.

NPPES Registry Identity

NPI1871733238

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePILOT BUTTE DERMATOLOGY, L.C.

Location Address196 ARROWHEAD DR, SUITE 5Evanston, WY 82930-8752

Mailing Address3570 W 9000 S, #220West Jordan, UT 84088-8869 · (801) 569-1456 · Fax (801) 565-7931

Phone(877) 689-0005

Fax(801) 565-7931

Organization SubpartNo

Authorized OfficialDouglass W. ForshaPresident · (801) 569-1456

Enumeration DateFebruary 25, 2009

Last NPPES UpdateMarch 25, 2009

✔ NPI 1871733238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WY · 8010A

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

196 ARROWHEAD DR, Evanston, WY 82930

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Other Names 1

Other NameSouth Valley Dermatology

Other Identifiers 3

Medicare PIN000010103UT

Medicare UPIND13612UT

Medicaid506808177021UT

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

Other Providers at the Same Location NPPES 16

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

EVANSTON SURGICAL CENTER LLC

Surgery

196 ARROWHEAD DR, SUITE 8
EVANSTON, WY 82930

Uinta County (307) 789-1390

BEAR RIVER UROLOGY, LLC

Urology

196 ARROWHEAD DR, SUITE #4
EVANSTON, WY 82930

Uinta County (307) 789-8721

UINTA EAR, NOSE & THROAT, PC

Otolaryngology

196 ARROWHEAD DR, SUITE 5
EVANSTON, WY 82930

Uinta County (307) 783-8364

CARVER FAMILY HEALTH, LLC

Nurse Practitioner (Family)

196 ARROWHEAD DR, SUITE #4
EVANSTON, WY 82930

Uinta County (307) 789-8721

BEAR RIVER SURGICAL CLINIC INC

Surgery

196 ARROWHEAD DR, SUITE #8
EVANSTON, WY 82930

Uinta County (307) 789-1390

DR. CAL LEE MORROW M.D.

Family Medicine

196 ARROWHEAD DR, SUITE 1
EVANSTON, WY 82930

Uinta County (307) 783-8123

AURALCARE HEARING CENTERS OF AMERICA, LLC

Clinic/Center (Hearing and Speech)

196 ARROWHEAD DR
EVANSTON, WY 82930

Uinta County (307) 783-8195

KARRIE L KNOPF PA-C

Family Medicine

196 ARROWHEAD DR, STE 1
EVANSTON, WY 82930

Uinta County (307) 783-8123

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 Pilot Butte Dermatology, L.C.'s NPI number?

The NPI number for Pilot Butte Dermatology, L.C. is 1871733238. It was assigned to this organization in the NPPES registry on February 25, 2009. The provider is also known as South Valley Dermatology.

Where is Pilot Butte Dermatology, L.C. located?

Pilot Butte Dermatology, L.C. is located at 196 Arrowhead Dr Suite 5, Evanston, WY 82930. The listed phone number is (877) 689-0005.

What is Pilot Butte Dermatology, L.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pilot Butte Dermatology, L.C. was last updated on March 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.