Active NPI 1508250432 Individual Practitioner Male Practitioner

Dr. Benjamin Blaine Jones , MD

Dermatology • Yakima, WA

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Jones, MD is a certified Dermatology practicing in Yakima, WA. With approximately 11 years of clinical experience since graduating from University Of Utah School Of Medicine in 2015, Dr. Jones delivers high-quality medical care to the local community at 3911 CASTLEVALE RD.

Dr. Jones is affiliated with Yakima Valley Dermatology Inc Ps and does not directly accept Medicare assignment.

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

3911 Castlevale Rd
Ste 301

Yakima, WA 989027807

Telephone 2324390776

Associated Practice Facility / Clinic

🏢 Cancer Institutes Of Washington, Pllc Facility NPI 1871508564

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2015

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Yakima, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -1.5 yrs vs City Avg

City Avg: 12.5 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Yakima, WA (397 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jones (11 Years) 11 Yrs

Yakima Specialty Average (12.5 Years) 12.5 Yrs

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	1,873	355	$9.45	$6.65
99213 Established patient office or other outpatient visit, typically 15 minutes	1,046	778	$126.28	$88.76
17000 Destruction of skin growth	634	507	$94.28	$57.44
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	391	322	$988.19	$620.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	194	$177.53	$125.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	232	232	$141.15	$108.13
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	223	193	$686.67	$243.13
17110 Destruction of up to 14 skin growths	220	204	$143.63	$103.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	157	112	$75.99	$55.61
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	125	95	$591.43	$411.07
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	114	104	$633.63	$271.14
96574 Application of light with debridement to destroy precancer skin growth	97	57	$394.94	$277.89
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	88	56	$547.84	$369.31
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	85	78	$176.77	$102.76
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	71	57	$1021.72	$608.36
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	68	61	$194.86	$129.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$213.68	$161.81
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	51	43	$143.69	$96.43
17004 Destruction of precancer skin growth, 15 or more growths	50	49	$239.22	$165.48
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	43	42	$738.56	$256.62
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	39	39	$427.25	$376.23
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	37	34	$182.80	$108.20
11104 Punch biopsy, first skin growth	36	34	$138.18	$118.81
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	32	30	$179.08	$127.45
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	29	27	$527.70	$323.99
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	20	$311.30	$127.06
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	20	19	$1367.80	$889.52
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	19	18	$135.35	$81.56
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	18	18	$1170.41	$757.11
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	17	$175.09	$148.40
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	18	14	$606.76	$393.13
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$384.02	$137.74
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	14	14	$1329.64	$1065.04
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	13	13	$131.93	$84.27
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	11	11	$1195.77	$871.92
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	11	11	$174.29	$124.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	7,600	36	$1.70	$1.62
17003 Destruction of precancer skin growth, 2-14 growths	1,973	289	$7.12	$6.77
99213 Established patient office or other outpatient visit, typically 15 minutes	896	606	$95.53	$89.25
17000 Destruction of skin growth	578	422	$71.53	$55.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	199	$137.76	$126.56
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	256	224	$747.04	$603.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	237	237	$117.39	$110.39
17110 Destruction of up to 14 skin growths	208	165	$120.32	$103.86
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	145	141	$25.09	$23.72
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	140	123	$521.13	$248.04
96574 Application of light with debridement to destroy precancer skin growth	129	90	$305.81	$288.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	127	97	$58.74	$56.15
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	120	93	$451.24	$419.36
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	103	94	$454.42	$328.76
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	91	65	$412.63	$377.90
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	86	77	$148.04	$129.75
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	86	73	$127.60	$108.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$179.11	$161.51
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	73	65	$128.90	$102.04
17004 Destruction of precancer skin growth, 15 or more growths	63	48	$176.63	$171.61
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	46	43	$285.69	$145.05
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	43	41	$418.57	$380.61
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	42	39	$685.68	$624.02
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	37	34	$141.93	$127.94
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	34	33	$265.88	$127.50
11104 Punch biopsy, first skin growth	33	32	$133.96	$125.49
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	27	25	$131.84	$103.83
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	24	21	$109.12	$81.59
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	24	24	$509.32	$251.54
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	21	$191.26	$179.26
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	22	22	$1067.65	$928.76
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	19	$161.40	$146.56
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$73.38	$70.23
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	19	$858.58	$753.50
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	18	$233.37	$205.70
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	16	$160.73	$136.93
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	15	14	$131.30	$81.71
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	13	12	$184.17	$163.18
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	12	12	$119.16	$116.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,217	171	$7.32	$7.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	677	462	$134.32	$129.00
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	330	281	$715.77	$605.65
17000 Destruction of skin growth	267	202	$72.23	$60.83
99213 Established patient office or other outpatient visit, typically 15 minutes	205	174	$96.26	$91.07
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	193	129	$435.61	$423.08
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	65	61	$516.49	$265.87
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	63	61	$447.13	$403.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$185.28	$169.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$115.71	$112.95
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	43	41	$285.40	$143.18
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	36	30	$146.62	$127.06
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	28	27	$412.15	$399.15
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	25	$190.16	$168.47
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	24	22	$192.18	$162.58
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	23	18	$127.15	$105.24
11102 Tangential biopsy of single skin lesion	22	22	$115.69	$99.29
11104 Punch biopsy, first skin growth	19	19	$131.75	$121.98
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$265.28	$126.40
17110 Destruction of up to 14 skin growths	17	11	$124.06	$110.30
17004 Destruction of precancer skin growth, 15 or more growths	16	14	$173.67	$174.30
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	14	14	$548.31	$255.84
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$143.74	$123.55
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	11	$137.66	$113.40
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$837.51	$777.13
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	12	$223.67	$188.39
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$210.73	$212.22
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	12	12	$357.10	$358.52
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	11	$152.08	$133.88
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	11	11	$170.24	$147.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,134	164	$14.01	$6.61
99213 Established patient office or other outpatient visit, typically 15 minutes	337	239	$183.56	$90.25
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	274	244	$1296.34	$629.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	226	226	$230.06	$111.74
17000 Destruction of skin growth	223	188	$141.93	$58.81
11102 Tangential biopsy of single skin lesion	188	162	$219.45	$102.85
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	185	130	$785.37	$416.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	102	$264.27	$127.33
11103 Biopsy of related skin growth, each additional growth	64	38	$103.47	$54.28
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	36	32	$426.63	$175.22
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	35	33	$288.73	$175.87
17004 Destruction of precancer skin growth, 15 or more growths	34	28	$329.44	$164.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$99.50	$56.86
11104 Punch biopsy, first skin growth	30	28	$265.03	$130.58
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	26	25	$651.58	$411.53
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	26	19	$356.59	$198.55
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	22	19	$331.83	$134.81
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	20	$570.38	$316.88
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	19	19	$296.22	$136.72
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	16	$428.01	$126.88
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	18	$764.12	$341.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$258.27	$168.87
69100 Biopsy of ear	16	14	$216.16	$89.00
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	15	$386.34	$175.06
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$191.65	$73.71
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$493.47	$143.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	953	210	$17.72	$5.61
99213 Established patient office or other outpatient visit, typically 15 minutes	350	268	$222.79	$69.48
17000 Destruction of skin growth	343	302	$193.82	$49.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	301	301	$318.67	$100.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	203	$322.87	$101.83
11102 Tangential biopsy of single skin lesion	223	207	$296.24	$88.91
99202 New patient office or other outpatient visit, typically 20 minutes	120	120	$225.31	$71.04
17110 Destruction of up to 14 skin growths	112	106	$331.63	$103.83
99354 Prolonged office or other outpatient service first hour	105	99	$388.71	$121.74
11103 Biopsy of related skin growth, each additional growth	70	57	$156.52	$49.20
11104 Punch biopsy, first skin growth	35	34	$373.64	$112.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$134.41	$42.45
17004 Destruction of precancer skin growth, 15 or more growths	21	20	$470.24	$147.81
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	18	$525.79	$161.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	681	129	$16.23	$5.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	225	225	$314.91	$99.18
17000 Destruction of skin growth	172	161	$188.14	$47.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	139	$320.29	$101.11
11102 Tangential biopsy of single skin lesion	153	150	$283.13	$87.54
99213 Established patient office or other outpatient visit, typically 15 minutes	95	80	$210.55	$68.27
99202 New patient office or other outpatient visit, typically 20 minutes	70	70	$218.77	$71.01
11103 Biopsy of related skin growth, each additional growth	51	39	$156.89	$49.54
17110 Destruction of up to 14 skin growths	49	47	$320.50	$96.81
11104 Punch biopsy, first skin growth	23	23	$338.28	$115.51
17004 Destruction of precancer skin growth, 15 or more growths	21	21	$439.55	$141.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$134.25	$41.83

Medical Specialties & State Licenses

CMS Verified: 2020-12-31

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD61111284

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.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License UT 10118459-1205

Hospital & Practice Group Affiliations

Yakima Valley Dermatology Inc Ps

3911 Castlevale Rd, Yakima, WA 989027807

Phone: 5099667899

Practice Associates & Co-Workers

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

7 Associated Practitioners

Kari Brewer , PA-C

Physician Assistant

NPI 1083757967

Physician Assistant (Certified)

Dr. Kirk Ecklund , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1154432904

Doctor of Medicine (M.D.)

Judith Hargis , PA

Obstetrics & Gynecology

NPI 1164468062

Physician Assistant

Dr. Carl Youngstrom , MD

Surgery

NPI 1780772434

Doctor of Medicine (M.D.)

Dr. Goldy Bansal , MD

Internal Medicine - Medical Oncology

NPI 1841458783

Doctor of Medicine (M.D.)

Idolina Maltos , PA

Family Medicine

NPI 1891708574

Physician Assistant

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location December 31, 2020

Registered at 3911 CASTLEVALE RD, STE 301, YAKIMA, WA 989027807 (Tel: 2324390776)

📍

Updated Business Mailing Address December 31, 2020

Registered at 3911 CASTLEVALE RD, STE 301, YAKIMA, WA 989027807 (Tel: 5099667899)

📍

Updated Practice Location September 16, 2019

Registered at 10240 W INDIAN SCHOOL RD STE 115, PHOENIX, AZ 850375905 (Tel: 2324390776)

📍

Updated Business Mailing Address September 16, 2019

Registered at 10240 W INDIAN SCHOOL RD STE 115, PHOENIX, AZ 850375905 (Tel: 6232439077)

✅

NPI Profile Active October 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 19, 2016

Registered at 30 N 1900 E, 4A330 SCHOOL OF MEDICINE, SALT LAKE CITY, UT 841320002 (Tel: 8016545670)

📍

Updated Business Mailing Address October 19, 2016

Registered at 30 N 1900 E, 4A330 SCHOOL OF MEDICINE, SALT LAKE CITY, UT 841320002 (Tel: 8016545670)

👤

Provider Name / Credentials Updated October 19, 2016

Recorded as BENJAMIN JONES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2016

Dermatology (License #10118459-1205 in UT)

🟢

Initial NPI Registration & Enumeration March 28, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1508250432

Entity Type:

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

Enumeration Date: March 28, 2015

Last Update: December 31, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3911 Castlevale Rd, Ste 301

Yakima, WA 989027807

Phone: 5099667899

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.