DOHERTY DERMATOLOGY
NPI 1598137820
Dermatology in Bellingham, WA

NPI Status: Active since October 26, 2015

Contact Information

1151 ELLIS ST # 202
BELLINGHAM, WA
ZIP 98225
Phone: (360) 746-2380

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  • Organization
  • Dermatology
  • Accepts Insurance
  • CLIA Number: 50D2107896
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About DOHERTY DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Doherty Dermatology, a provider established in Bellingham, Washington operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1598137820 assigned on October 2015. The practitioner's primary taxonomy code is 207N00000X with license number MD00020973 (WA). The provider is registered as an organization and their NPI record was last updated 9 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 Doherty Dermatology. The authorized official of this NPI record is Mark J Doherty Md (Owner)

NPI
1598137820
Provider Legal Name
M J DOHERTY PLLC
Other Organization Name
DOHERTY DERMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1151 ELLIS ST # 202 BELLINGHAM, WA 98225
Location Phone
(360) 746-2380
Mailing Address
1151 ELLIS ST # 202 BELLINGHAM, WA 98225
Mailing Phone
(360) 746-2380
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2015
Last Update Date
11-23-2016
Code Navigator

A dermatologist like Doherty Dermatology 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
License No.
MD00020973
License State
WA
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

MD00020973 (WA)

Group Taxonomy 193400000X MULTIPLE 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:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MARK J DOHERTY MD

Authorized Official Title
OWNER
Authorized Official Phone
(360) 961-0843

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
50D2107896
Facility Type
Physician Office
Certificate Effective Date
January 25, 2016
Certificate Expiration Date
April 04, 2028
Laboratory Director
MARK J. DOHERTY
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Doherty Dermatology 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.

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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.
1598137820
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25188231484
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 2 + 3 + 1 + 4 + 8 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1598137820 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598137820, enumerated in the NPI registry as an "organization" on October 26, 2015

The provider is located at 1151 Ellis St # 202 Bellingham, Wa 98225 and the phone number is (360) 746-2380

This medical organization specializes in Dermatology with taxonomy code 207N00000X

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 50D2107896 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 26, 2015. 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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