Active NPI 1255417051 Individual Practitioner Female Practitioner

Dr. Molly Trainor Hogan , MD

Dermatology • Brewster, WA

Professional Overview & Biography Verified Profile Summary

Dr. Molly Hogan, MD is a registered healthcare professional specializing in Dermatology in Brewster, WA. Practice services are available at 418 WEST MAIN AVE under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

418 West Main Ave

Brewster, WA 98812

Telephone 5096638711

Associated Practice Facility / Clinic

🏢 Wenatchee Valley Hospital Facility NPI 1366578064

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Brewster, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.0 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Brewster, WA (397 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,624	235	$23.00	$6.69
99213 Established patient office or other outpatient visit, typically 15 minutes	508	410	$297.00	$90.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	343	256	$420.00	$126.82
17000 Destruction of skin growth	319	275	$224.00	$54.00
11102 Tangential biopsy of single skin lesion	232	191	$359.00	$93.59
17004 Destruction of precancer skin growth, 15 or more growths	160	128	$565.00	$167.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$368.00	$110.28
17110 Destruction of up to 14 skin growths	108	104	$392.00	$111.93
11103 Biopsy of related skin growth, each additional growth	85	56	$181.00	$50.58
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	60	48	$913.00	$145.80
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	56	53	$1052.00	$294.25
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	53	45	$830.09	$127.67
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	47	40	$1073.00	$313.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$545.00	$166.46
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	33	$604.00	$151.04
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$864.00	$126.99
69100 Biopsy of ear	14	12	$340.00	$65.22
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$637.00	$150.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,580	240	$22.00	$6.93
99213 Established patient office or other outpatient visit, typically 15 minutes	499	418	$282.00	$91.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	359	263	$398.00	$124.14
17000 Destruction of skin growth	319	288	$223.00	$55.95
11102 Tangential biopsy of single skin lesion	232	192	$358.23	$98.22
17004 Destruction of precancer skin growth, 15 or more growths	170	142	$563.00	$173.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	154	154	$347.00	$113.33
17110 Destruction of up to 14 skin growths	119	111	$390.11	$115.24
11103 Biopsy of related skin growth, each additional growth	83	48	$181.00	$52.02
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	73	62	$1052.00	$296.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$517.00	$167.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	63	52	$838.00	$131.08
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	54	45	$913.00	$145.29
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	45	40	$1073.00	$322.40
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	31	28	$864.00	$130.07
69100 Biopsy of ear	18	15	$340.00	$69.20
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	18	18	$1056.00	$293.15
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	13	$637.00	$135.98
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	12	12	$653.00	$173.98
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$693.00	$158.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,660	236	$19.00	$6.98
99213 Established patient office or other outpatient visit, typically 15 minutes	504	414	$266.86	$91.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	443	309	$379.00	$127.27
17000 Destruction of skin growth	325	287	$195.00	$57.99
17004 Destruction of precancer skin growth, 15 or more growths	210	158	$492.00	$173.66
11102 Tangential biopsy of single skin lesion	208	183	$311.00	$101.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$328.00	$112.87
17110 Destruction of up to 14 skin growths	129	117	$339.00	$115.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$490.00	$165.88
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	77	67	$919.00	$298.19
11103 Biopsy of related skin growth, each additional growth	60	43	$158.00	$53.04
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	57	45	$736.00	$132.79
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	51	46	$942.00	$324.63
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	51	48	$803.00	$146.07
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	21	$530.00	$132.79
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	23	$759.00	$130.30
69100 Biopsy of ear	21	19	$294.00	$69.20
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	14	$611.00	$190.26
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$835.00	$156.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,511	247	$27.00	$6.74
99213 Established patient office or other outpatient visit, typically 15 minutes	645	525	$221.00	$92.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	415	291	$320.00	$130.38
17000 Destruction of skin growth	321	295	$203.00	$52.38
11102 Tangential biopsy of single skin lesion	269	237	$276.49	$100.43
17110 Destruction of up to 14 skin growths	239	193	$338.23	$115.39
17004 Destruction of precancer skin growth, 15 or more growths	235	176	$470.00	$171.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	200	200	$316.00	$113.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$482.00	$169.23
11103 Biopsy of related skin growth, each additional growth	78	52	$151.00	$54.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	66	58	$811.00	$313.45
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	49	40	$729.00	$145.86
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	41	38	$790.00	$328.74
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	39	35	$666.00	$134.94
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	37	29	$468.00	$149.94
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	26	$688.00	$132.29
69100 Biopsy of ear	25	22	$269.00	$78.22
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	24	$548.00	$187.70
11200 Removal of skin tag, 1-15 skin tags	22	21	$266.00	$71.67
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	18	$759.00	$145.68
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	15	15	$775.00	$301.75
11104 Punch biopsy, first skin growth	14	14	$350.00	$135.41
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$498.00	$187.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,318	201	$26.00	$6.17
99213 Established patient office or other outpatient visit, typically 15 minutes	843	602	$189.00	$76.19
17000 Destruction of skin growth	272	250	$195.00	$53.99
17004 Destruction of precancer skin growth, 15 or more growths	240	194	$387.00	$163.65
11102 Tangential biopsy of single skin lesion	233	204	$266.00	$96.64
17110 Destruction of up to 14 skin growths	174	158	$312.17	$113.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$280.00	$109.60
99202 New patient office or other outpatient visit, typically 20 minutes	108	108	$193.00	$76.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	60	$279.00	$111.31
11103 Biopsy of related skin growth, each additional growth	61	40	$145.00	$55.27
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	55	54	$780.00	$305.20
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	43	$640.00	$133.52
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	47	44	$701.00	$154.73
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	38	37	$760.00	$316.11
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	23	$450.00	$145.39
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	22	$662.00	$174.46
69100 Biopsy of ear	21	20	$259.00	$72.68
11200 Removal of skin tag, 1-15 skin tags	16	16	$250.75	$59.41
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$20.00	$19.58
G0008 Administration of influenza virus vaccine	14	14	$15.00	$15.00
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	12	$527.00	$189.49
99442 Telephone medical discussion with physician, 11-20 minutes	14	13	$72.14	$71.13
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$730.00	$168.15
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	12	12	$807.00	$323.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,225	335	$26.00	$5.75
99213 Established patient office or other outpatient visit, typically 15 minutes	1,258	817	$189.00	$75.12
17000 Destruction of skin growth	457	403	$195.00	$53.56
11102 Tangential biopsy of single skin lesion	340	285	$266.00	$84.25
17004 Destruction of precancer skin growth, 15 or more growths	335	233	$387.00	$154.33
17110 Destruction of up to 14 skin growths	315	274	$281.78	$111.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	225	225	$280.00	$108.78
99202 New patient office or other outpatient visit, typically 20 minutes	218	218	$193.00	$76.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	77	$279.00	$110.39
11103 Biopsy of related skin growth, each additional growth	102	69	$145.00	$52.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	86	78	$780.00	$303.21
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	66	52	$640.00	$137.00
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	61	48	$701.00	$148.47
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	53	47	$760.00	$299.63
11200 Removal of skin tag, 1-15 skin tags	35	34	$228.00	$61.87
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	26	$450.00	$154.18
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	26	$662.00	$151.87
69100 Biopsy of ear	24	24	$259.00	$74.55
11104 Punch biopsy, first skin growth	20	20	$337.00	$108.49
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	17	$730.00	$188.21
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	15	$527.00	$203.93
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	15	14	$807.00	$327.08
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$745.00	$265.42
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$479.00	$172.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,762	257	$25.38	$5.32
99213 Established patient office or other outpatient visit, typically 15 minutes	889	606	$189.32	$73.16
17000 Destruction of skin growth	350	307	$193.50	$53.04
11100 Biopsy of single growth of skin and/or tissue	271	235	$275.46	$87.53
17004 Destruction of precancer skin growth, 15 or more growths	266	210	$387.70	$146.47
17110 Destruction of up to 14 skin growths	218	182	$276.11	$112.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	212	212	$273.25	$107.37
99202 New patient office or other outpatient visit, typically 20 minutes	183	183	$188.20	$75.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	68	$273.26	$106.64
11101 Biopsy of each additional growth of skin and/or tissue	86	60	$102.74	$32.53
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	69	60	$756.10	$285.31
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	61	55	$758.37	$160.01
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	52	46	$738.11	$283.43
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	46	40	$626.36	$121.50
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	31	29	$701.68	$151.02
69100 Biopsy of ear	28	27	$288.91	$74.28
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	16	$457.92	$131.46
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	20	20	$725.76	$277.85
11200 Removal of skin tag, 1-15 skin tags	18	17	$240.08	$68.38
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$798.28	$164.54
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	14	$653.28	$214.68
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	12	$464.23	$155.25
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	11	$524.80	$177.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,043	264	$25.33	$5.58
99213 Established patient office or other outpatient visit, typically 15 minutes	829	560	$184.58	$72.11
17003 Destruction of precancer skin growth, 2-14 growths	429	66	$4.43	$2.38
17000 Destruction of skin growth	344	299	$190.01	$52.62
99213 Established patient office or other outpatient visit, typically 15 minutes	288	230	$89.42	$50.48
11100 Biopsy of single growth of skin and/or tissue	281	239	$258.77	$94.99
17004 Destruction of precancer skin growth, 15 or more growths	233	182	$377.30	$149.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	174	174	$273.25	$106.89
17110 Destruction of up to 14 skin growths	170	138	$273.04	$110.43
99202 New patient office or other outpatient visit, typically 20 minutes	169	169	$188.20	$73.35
17004 Destruction of precancer skin growth, 15 or more growths	105	87	$123.96	$99.95
11101 Biopsy of each additional growth of skin and/or tissue	79	53	$82.34	$32.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	53	$272.34	$104.36
17000 Destruction of skin growth	76	69	$60.48	$50.95
11100 Biopsy of single growth of skin and/or tissue	66	58	$73.29	$40.07
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	61	54	$760.94	$300.03
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	60	50	$684.03	$146.43
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	58	49	$741.03	$279.86
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	43	37	$624.31	$135.14
17110 Destruction of up to 14 skin growths	36	31	$68.18	$61.46
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	27	$646.03	$168.78
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	19	$438.83	$143.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	22	$135.72	$77.72
11101 Biopsy of each additional growth of skin and/or tissue	20	15	$37.10	$24.93
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$17.31	$16.96
G0008 Administration of influenza virus vaccine	19	19	$13.50	$13.23
69100 Biopsy of ear	19	15	$252.44	$74.19
11200 Removal of skin tag, 1-15 skin tags	17	16	$222.58	$57.82
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$228.01	$178.29
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	13	$205.39	$102.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$128.48	$75.83
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$84.15	$50.13
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$237.06	$99.23
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$726.55	$287.61

Medical Specialties & State Licenses

CMS Verified: 2022-06-23

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD00043739

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1255417051 (WA)

Commercial Insurance / Payer ID Wvh Ptan

G8920548 (WA)

Commercial Insurance / Payer ID Wvc Ptan

G8920547 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Richard Hesner , PT

Physical Therapist

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Physical Therapist

Alaa Salama , RPH

Pharmacist

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Registered Pharmacist

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Pathology - Anatomic Pathology & Clinical Pathology

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Doctor of Osteopathic Medicine (D.O.)

Dr. Erin Andrade , MD

Physical Medicine & Rehabilitation

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Doctor of Medicine (M.D.)

Dr. Ahmad Musmar , MD

Internal Medicine - Infectious Disease

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Doctor of Medicine (M.D.)

Dr. Alana Jackson , MD

Family Medicine

NPI 1003347550

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active September 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 19, 2017

Registered at 418 WEST MAIN AVE, BREWSTER, WA 98812 (Tel: 5096638711)

📍

Updated Business Mailing Address September 19, 2017

Registered at 820 N CHELAN AVE, WENATCHEE, WA 988012028 (Tel: (509) 663-8711)

👤

Provider Name / Credentials Updated September 19, 2017

Recorded as MOLLY HOGAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2017

Dermatology (License #MD00043739 in WA)

✅

NPI Profile Active August 02, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 02, 2013

Registered at 820 N CHELAN AVE, WENATCHEE, WA 988012028 (Tel: 5096638711)

📍

Updated Business Mailing Address August 02, 2013

Registered at 820 N CHELAN AVE, WENATCHEE, WA 988012028 (Tel: 5096638711)

👤

Provider Name / Credentials Updated August 02, 2013

Recorded as MOLLY HOGAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2013

Dermatology (License #MD00043739 in WA)

🟢

Initial NPI Registration & Enumeration October 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1255417051

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 27, 2006

Last Update: June 23, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

820 N Chelan Ave

Wenatchee, WA 988012028

Phone: 5096638711

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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