PENINSULA DERMATOLOGY & LASER CLINIC PLLC
NPI 1659167674
Dermatology in Gig Harbor, WA
NPI Status: Active since April 16, 2025
Contact Information
4700 POINT FOSDICK DR STE 219
GIG HARBOR, WA
ZIP 98335
Phone: (253) 851-7733
Fax: (253) 514-6320
- Organization
- Dermatology
- CLIA Number: 50D2158410
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About PENINSULA DERMATOLOGY & LASER CLINIC PLLC
This page provides the complete NPI Profile along with additional information for Peninsula Dermatology & Laser Clinic Pllc, a provider established in Gig Harbor, Washington operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1659167674 assigned on April 2025. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated April 2025. 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 Kerri L Robbins Md (Owner)
- NPI
- 1659167674
- Provider Name
- PENINSULA DERMATOLOGY & LASER CLINIC PLLC
- Entity Type
- Organization
- Location Address
- 4700 POINT FOSDICK DR STE 219 GIG HARBOR, WA 98335
- Location Phone
- (253) 851-7733
- Location Fax
- (253) 514-6320
- Mailing Address
- 4700 POINT FOSDICK DR STE 219 GIG HARBOR, WA 98335
- Mailing Phone
- (253) 851-7733
- Mailing Fax
- (253) 514-6320
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-16-2025
- Last Update Date
- 04-16-2025
- Code Navigator
A dermatologist like Peninsula Dermatology & Laser Clinic Pllc 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
Secondary Locations
- 3505 NW Anderson Hill Rd Ste 201
Silverdale, WA 98383
(360) 698-6859 - 4707 S 19th St Ste 130
Tacoma, WA 98405
(253) 752-2273
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.
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
- 50D2158410
- Facility Type
- Physician Office
- Certificate Effective Date
- November 28, 2018
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- KERRI M. ROBBINS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Peninsula Dermatology & Laser Clinic Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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. | |||||||||
| 1 | 6 | 5 | 9 | 1 | 6 | 7 | 6 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 2 | 6 | 14 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 2 + 6 + 1 + 4 + 6 + 1 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1659167674 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1912384710 | PHILIP M MCLAIN MD Individual | Dermatology | 4700 POINT FOSDICK DR STE 219 GIG HARBOR, WA 98335 (253) 851-7733 |
| 1952613317 | EVE NOEL SCHOENEFELD P.A. Individual | Physician Assistant | 4700 POINT FOSDICK DR STE 219 GIG HARBOR, WA 98335 (253) 851-7733 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659167674, enumerated in the NPI registry as an "organization" on April 16, 2025
The provider is located at 4700 Point Fosdick Dr Ste 219 Gig Harbor, Wa 98335 and the phone number is (253) 851-7733
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider's CLIA number is 50D2158410 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on April 16, 2025. 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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