SUMMIT DERMATOLOGY AND AESTHETICS
NPI 1952172686
Dermatology in Medford, OR

Active since January 11, 2024
1910 E BARNETT RD STE 101, MEDFORD, OR 97504(541) 200-2022 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Summit Dermatology And Aesthetics NPPES

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

SUMMIT DERMATOLOGY AND AESTHETICS (NPI 1952172686) is a healthcare organization registered as a dermatology in Medford, Oregon and active in the NPI registry since January 2024. The organization lists John Richardson, Partner, as its authorized official.

NPPES Registry Identity

NPI1952172686
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSUMMIT DERMATOLOGY AND AESTHETICS
Location Address1910 E BARNETT RD STE 101Medford, OR 97504-8672
Mailing Address1910 E Barnett Rd Ste 101Medford, OR 97504-8672 · (541) 200-2022
Organization SubpartNo
Authorized OfficialJohn RichardsonPartner · (503) 858-3642
Enumeration DateJanuary 11, 2024
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
NPI 1952172686 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.
1910 E BARNETT RD STE 101, Medford, OR 97504

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

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 Waiver 38D2308797

Summit Dermatology · Medford, OR
Expired · Aug 1, 2026
CLIA Number38D2308797
Laboratory TypePractitioner Other
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorMariana Cooper
Laboratory Phone(541) 200-2022
Laboratory LocationSummit Dermatology1910 E Barnett Rd, Suite 101, Medford, OR 97504
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Physician Assistant
1910 E BARNETT RD STE 101
MEDFORD, OR 97504

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 Summit Dermatology And Aesthetics's NPI number?

The NPI number for Summit Dermatology And Aesthetics is 1952172686. It was assigned to this organization in the NPPES registry on January 11, 2024.

Where is Summit Dermatology And Aesthetics located?

Summit Dermatology And Aesthetics is located at 1910 E Barnett Rd Ste 101, Medford, OR 97504. The listed phone number is (541) 200-2022.

What is Summit Dermatology And Aesthetics's specialty?

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

What insurance does Summit Dermatology And Aesthetics accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Summit Dermatology And Aesthetics 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 Summit Dermatology And Aesthetics was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.