WHIDBEY DERMATOLOGY
NPI 1649281320
Dermatology in Coupeville, WA

NPI Status: Active since August 10, 2006

Contact Information

205 S MAIN ST
BLG A
COUPEVILLE, WA
ZIP 98239
Phone: (360) 678-6561
Fax: (360) 678-7133

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  • Organization
  • Dermatology

About WHIDBEY DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Whidbey Dermatology, a provider established in Coupeville, Washington operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1649281320 assigned on August 2006. The practitioner's primary taxonomy code is 207N00000X with license number MD00038058 (WA). The provider is registered as an organization and their NPI record was last updated 15 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 Whidbey Dermatology. The authorized official of this NPI record is Dr. Donald Russell Johnson M.d., Ph.d. (Owner, Medical Director)

NPI
1649281320
Provider Legal Name
ISLAND COUNTY DERMATOLOGY PLLC
Other Organization Name
WHIDBEY DERMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
205 S MAIN ST BLG A COUPEVILLE, WA 98239
Location Phone
(360) 678-6561
Location Fax
(360) 678-7133
Mailing Address
PO BOX 900 COUPEVILLE, WA 98239
Mailing Phone
(360) 678-6561
Mailing Fax
(360) 678-7133
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-10-2006
Last Update Date
09-28-2010
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A dermatologist like Whidbey 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.
MD00038058
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.

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:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

DR. DONALD RUSSELL JOHNSON M.D., PH.D.

Authorized Official Title
OWNER, MEDICAL DIRECTOR
Authorized Official Phone
(360) 678-6561

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GAB20723MEDICARE ID-TYPE UNSPECIFIED (04)WA 
1598790990OTHER (01)WANPI
G8856648MEDICARE PIN (08)WA 
GAB20722MEDICARE PIN (08)WA 
G88409MEDICARE UPIN (02)WA 
1108877MEDICAID (05)WA 

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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.
1649281320
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
268948234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 4 + 8 + 2 + 3 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1649281320 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 1649281320, enumerated in the NPI registry as an "organization" on August 10, 2006

The provider is located at 205 S Main St Blg A Coupeville, Wa 98239 and the phone number is (360) 678-6561

This medical organization specializes in Dermatology with taxonomy code 207N00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 10, 2006. 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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