PROTEAN DERMATOLOGY CONSULTING, LLC
NPI 1326864059
Dermatology in Bend, OR

NPI Status: Active since November 26, 2024

Contact Information

360 SW BOND ST STE 310
BEND, OR
ZIP 97702
Phone: (855) 457-5593

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  • Organization
  • Dermatology

About PROTEAN DERMATOLOGY CONSULTING, LLC

This page provides the complete NPI Profile along with additional information for Protean Dermatology Consulting, Llc, a provider established in Bend, Oregon operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1326864059 assigned on November 2024. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is John E Jackson Md (Physician Owner)

NPI
1326864059
Provider Name
PROTEAN DERMATOLOGY CONSULTING, LLC
Entity Type
Organization
Location Address
360 SW BOND ST STE 310 BEND, OR 97702
Location Phone
(855) 457-5593
Mailing Address
360 SW BOND ST STE 310 BEND, OR 97702
Mailing Phone
(855) 457-5593
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-26-2024
Last Update Date
11-26-2024
Code Navigator

A dermatologist like Protean Dermatology Consulting, Llc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN E JACKSON MD

Authorized Official Title
PHYSICIAN OWNER
Authorized Official Phone
(855) 457-5593

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326864059
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23461668010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 1 + 6 + 6 + 8 + 0 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1326864059 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215912712MS. AMY GOULEY SNOW PA
Individual
Physician Assistant (Medical)360 SW BOND ST STE 310
BEND, OR 97702
(541) 727-3376
1902635550A & M SNOW, INC.
Organization
Dermatology360 SW BOND ST STE 310
BEND, OR 97702
(541) 727-3376

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326864059, enumerated in the NPI registry as an "organization" on November 26, 2024

The provider is located at 360 Sw Bond St Ste 310 Bend, Or 97702 and the phone number is (855) 457-5593

This medical organization specializes in Dermatology with taxonomy code 207N00000X

This NPI record was last updated on November 26, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.