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NPI · 1477529436 · NPPES-sourced

Russellville Dermatology Clinic PA

ActiveProcedural Dermatology Physician
NPI Number
1477529436
Type 2 · Organisation
Taxonomy Code
207NS0135X
Contact
(479) 968-6969
License AR · MC0841
Last Updated
About 3 years ago (Mar 2023)
Enumerated 2006-02-28
Primary practice addressAR · 72801-2720
1602 W Main StRussellville, AR 72801-2720
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About this NPIWhat this record shows.

NPI 1477529436 is registered to Russellville Dermatology Clinic PA, a healthcare organisation classified as "Procedural Dermatology Physician" and located at 1602 W Main St in Russellville, Arkansas. The organisation's authorised official is William Galloway. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2006-02-28
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Russellville Dermatology Clinic PA accepts. To confirm in-network status with your specific health plan, contact Russellville Dermatology Clinic PA directly at (479) 968-6969.

Frequently asked

Yes. NPI 1477529436 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Procedural Dermatology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (479) 968-6969.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Russellville Dermatology Clinic PA is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207NS0135X
Last updated2023-03
Enumerated2006-02-28
StatusActive
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Same specialtyOther Procedural Dermatology Physician providers in Arkansas.

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