SKINCARE MT
NPI 1487082087
Dermatology in Bozeman, MT
NPI Status: Active since October 17, 2013
Contact Information
1905 W COLLEGE ST
BOZEMAN, MT
ZIP 59718
Phone: (406) 587-4432
Fax: (406) 587-7015
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 27D0410607
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-21-2026
About SKINCARE MT
This page provides the complete NPI Profile along with additional information for Skincare Mt, a provider established in Bozeman, Montana operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1487082087 assigned on October 2013. The practitioner's primary taxonomy code is 207N00000X with license number 20664 (MT). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Skincare Mt. The authorized official of this NPI record is Jennifer Raasch Cpb (Billing Manager)
- NPI
- 1487082087
- Provider Legal Name
- MONTANA SKIN CANCER AND DERMATOLOGY CENTER, P.C.
- Other Organization Name
- SKINCARE MT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1905 W COLLEGE ST BOZEMAN, MT 59718
- Location Phone
- (406) 587-4432
- Location Fax
- (406) 587-7015
- Mailing Address
- 1905 W COLLEGE ST BOZEMAN, MT 59718
- Mailing Phone
- (406) 587-4432
- Mailing Fax
- (406) 587-7015
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-17-2013
- Last Update Date
- 03-08-2023
- Code Navigator
A dermatologist like Skincare Mt 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.
Location Map
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
- License No.
- 20664
- License State
- MT
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 27D0410607
- Facility Type
- Physician Office
- Certificate Effective Date
- November 22, 2024
- Certificate Expiration Date
- November 21, 2026
- Laboratory Director
- DR. AARON M. BRUCE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Skincare Mt after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for SKINCARE MT
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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. | |||||||||
| 1 | 4 | 8 | 7 | 0 | 8 | 2 | 0 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 0 | 8 | 4 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 0 + 8 + 4 + 0 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1487082087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245410042 | CASSIDY L JUDA PA Individual | Physician Assistant | 1905 W COLLEGE ST BOZEMAN, MT 59718 (406) 587-4432 |
| 1194907741 | PHOEBE KOCH M.D. Individual | Dermatology | 1905 W COLLEGE ST BOZEMAN, MT 59718 (406) 587-4432 |
| 1780832725 | DR. AARON MICHAEL BRUCE D.O. Individual | Dermatology | 1905 W COLLEGE ST BOZEMAN, MT 59718 (406) 587-4432 |
| 1083817647 | JEFFREY L PECKINPAUGH MD Individual | Ophthalmology | 1905 W COLLEGE ST BOZEMAN, MT 59718 (406) 490-9953 |
| 1235546094 | PECKINPAUGH OCULOPLASTIC SURGERY Organization | Ophthalmology | 1905 W COLLEGE ST BOZEMAN, MT 59718 (406) 490-9953 |
| 1629275037 | DR. MICHAEL COLIN MILLIKEN M.D. Individual | Dermatology | 1905 W COLLEGE ST BOZEMAN, MT 59718 (406) 587-4432 |
| 1811345093 | MOLLY BUCKLAND D.O. Individual | Dermatology (MOHS-Micrographic Surgery) | 1905 W COLLEGE ST BOZEMAN, MT 59718 (406) 587-4432 |
| 1548722242 | ADDISON MAE COLLINS PA Individual | Physician Assistant (Medical) | 1905 W COLLEGE ST BOZEMAN, MT 59718 (406) 587-4432 |
| 1851993182 | KELLY RYAN COYLE PA-C Individual | Physician Assistant | 1905 W COLLEGE ST BOZEMAN, MT 59718 (406) 587-4432 |
| 1982067450 | DR. TARA OETKEN M.D. Individual | Dermatology | 1905 W COLLEGE ST BOZEMAN, MT 59718 (406) 587-4432 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487082087, enumerated in the NPI registry as an "organization" on October 17, 2013
The provider is located at 1905 W College St Bozeman, Mt 59718 and the phone number is (406) 587-4432
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Mountain Health CO-OP. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 27D0410607 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 17, 2013. 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].
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