TRI-CITY DERMATOLOGY PLLC
NPI 1669070918
Dermatology - MOHS-Micrographic Surgery in Richland, WA
NPI Status: Active since October 09, 2020
Contact Information
112 COLUMBIA POINT DR STE 105
RICHLAND, WA
ZIP 99352
Phone: (509) 873-7140
Fax: (509) 818-1303
- Organization
- Dermatology
- MOHS-Micrographic Surgery
- Accepts Insurance
About TRI-CITY DERMATOLOGY PLLC
This page provides the complete NPI Profile along with additional information for Tri-city Dermatology Pllc, a provider established in Richland, Washington operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1669070918 assigned on October 2020. The practitioner's primary taxonomy code is 207ND0101X. The provider is registered as an organization and their NPI record was last updated 5 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 authorized official of this NPI record is Dr. Jeremy W Peck Md (Owner/md)
- NPI
- 1669070918
- Provider Name
- TRI-CITY DERMATOLOGY PLLC
- Entity Type
- Organization
- Location Address
- 112 COLUMBIA POINT DR STE 105 RICHLAND, WA 99352
- Location Phone
- (509) 873-7140
- Location Fax
- (509) 818-1303
- Mailing Address
- 84827 JENNA LN KENNEWICK, WA 99338
- Mailing Phone
- (484) 919-2125
- Mailing Fax
- (509) 818-1303
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2020
- Last Update Date
- 10-29-2020
- Code Navigator
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 MOHS-Micrographic Surgery
- Taxonomy Code
- 207ND0101X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
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:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- 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.
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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 | 6 | 9 | 0 | 7 | 0 | 9 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 0 | 7 | 0 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 0 + 7 + 0 + 9 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1669070918 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1669718516 | PARKINSON - BUTLER ORTHODONTICS Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 112 COLUMBIA POINT DR STE 105 RICHLAND, WA 99352 (509) 946-7689 |
| 1457514689 | DR. JEREMY WALTER PECK M.D., PH.D. Individual | Dermatology (MOHS-Micrographic Surgery) | 112 COLUMBIA POINT DR STE 105 RICHLAND, WA 99352 (509) 873-7140 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669070918, enumerated in the NPI registry as an "organization" on October 09, 2020
The provider is located at 112 Columbia Point Dr Ste 105 Richland, Wa 99352 and the phone number is (509) 873-7140
This medical organization specializes in Dermatology with taxonomy code 207ND0101X with a focus in MOHS-Micrographic Surgery
The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. 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 October 09, 2020. 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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