1. Home
  2. Directory
  3. Montana
  4. Butte
  5. Dermatology
  6. NPI Profile

EPIPHANY DERMATOLOGY OF MONTANA, PLLC
NPI 1902455074
Dermatology in Butte, MT

Active since September 10, 2019CLIA 27D0893570 · Certificate of Compliance
24 E BROADWAY ST, BUTTE, MT 59701(406) 723-7272(406) 723-3328 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2023, Feb 10, 2020, Sep 10, 2019 (3 updates tracked since 2019).

About Epiphany Dermatology Of Montana, Pllc NPPES

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

EPIPHANY DERMATOLOGY OF MONTANA, PLLC (NPI 1902455074) is a healthcare organization registered as a dermatology in Butte, Montana and active in the NPI registry since September 2019. The organization holds a CLIA Certificate of Compliance certificate valid through February 24, 2027 and lists Gheorghe Pusta, Director/managing Employee, as its authorized official.

NPPES Registry Identity

NPI1902455074
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEPIPHANY DERMATOLOGY OF MONTANA, PLLC
Location Address24 E BROADWAY STButte, MT 59701-9334
Mailing Address7300 Ranch Rd. 2222, Bldg 1, Ste 200Austin, TX 78730 · (512) 628-0465 · Fax (512) 233-2711
Phone(406) 723-7272
Fax(406) 723-3328
Organization SubpartNo
Authorized OfficialGheorghe PustaDirector/managing Employee · (512) 960-5760
Enumeration DateSeptember 10, 2019
Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1902455074 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.
24 E BROADWAY ST, Butte, MT 59701
Open in Google Maps ↗

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 Blue Cross and Blue Shield of Montana.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 27D0893570

Epiphany Dermatology Of Montana, LLC · Butte, MT
Active · expires Feb 24, 2027
CLIA Number27D0893570
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorDr. Alyson A. Thede
Laboratory Phone(406) 723-7272
Laboratory LocationEpiphany Dermatology Of Montana, LLC24 E Broadway St, Butte, MT 59701
CLIA data matches this NPI record on: Address Name Phone
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 3

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

DR. DIXON LEE ROBISON M.D.
Dermatology
24 E BROADWAY ST
BUTTE, MT 59701
Silver Bow County (406) 723-7272
MRS. MICHELLE J MILLER LCSW
Social Worker (Clinical)
24 E BROADWAY ST
BUTTE, MT 59701
Silver Bow County (406) 560-6600
MS. LAURIE SHUTTLESWORTH PA
Physician Assistant
24 E BROADWAY ST
BUTTE, MT 59701
Silver Bow County (406) 723-7272

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 Epiphany Dermatology Of Montana, PLLC's NPI number?

The NPI number for Epiphany Dermatology Of Montana, PLLC is 1902455074. It was assigned to this organization in the NPPES registry on September 10, 2019.

Where is Epiphany Dermatology Of Montana, PLLC located?

Epiphany Dermatology Of Montana, PLLC is located at 24 E Broadway St, Butte, MT 59701. The listed phone number is (406) 723-7272.

What is Epiphany Dermatology Of Montana, PLLC's specialty?

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

Does Epiphany Dermatology Of Montana, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 27D0893570) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Epiphany Dermatology Of Montana, PLLC accept?

Health plans from Blue Cross and Blue Shield of Montana list Epiphany Dermatology Of Montana, 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 Epiphany Dermatology Of Montana, PLLC was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.