Advanced Dermatology and Skin Renewal Center – Dermatology Physician, NPI 1114950375

Advanced Dermatology and Skin Renewal Center is a healthcare provider. based in Mount vernon, Washington. specializing in Dermatology Physician. The NPI Number for Advanced Dermatology and Skin Renewal Center is 1114950375

Main info

Organization
Name
Advanced Dermatology and Skin Renewal Center
NPI
1114950375
Phone
(360) 424-4186
Address
1420 ROOSEVELT AVE
Authorized Official
J SEMMES MICKELWAIT OWNER MD
Enumeration Date
9 July 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Advanced Dermatology and Skin Renewal Center

  • Tim Salerno Karate, 1420, Roosevelt Avenue, Mount Vernon, Skagit County, Washington, 98273, United States

    SUITE 7

    MOUNT VERNON, WA 982732687

    Phone: (360) 424-4186

    Fax: (360) 428-0927

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98273)

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Frequently asked questions

What is the 10-digit NPI for Advanced Dermatology and Skin Renewal Center?
Advanced Dermatology and Skin Renewal Center — NPI 1114950375 — is the standard way to identify this listing.
Is Advanced Dermatology and Skin Renewal Center listed as active for patients and plans?
The listing shows Advanced Dermatology and Skin Renewal Center as active in the NPI system.
What healthcare role does Advanced Dermatology and Skin Renewal Center hold?
Scheduling teams often label Advanced Dermatology and Skin Renewal Center under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where is Advanced Dermatology and Skin Renewal Center based?
Advanced Dermatology and Skin Renewal Center is tied to Mount Vernon, Washington in the data we show; additional addresses may exist on the full record.
Why does Advanced Dermatology and Skin Renewal Center have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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