PAUL D. REICHERTER MD PC NPI 1407055437

NPI Information

NPI: 1407055437
Provider Name: PAUL D. REICHERTER, MD, PC

Other Name: ADVANCED SKIN CENTER

Classification: Dermatology - 207NI0002X
Entity Type: Organization

Specialization: Clinical & Laboratory Dermatological Immunology

Address:
1813 W HARVARD AVE STE 310
ROSEBURG, OR
ZIP 97471
Phone: (541) 672-7546
Get Directions

PAUL D. REICHERTER, MD, PC is a clinical and laboratory dermatological immunology dermatology in Roseburg, OR. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. PAUL D. REICHERTER, MD, PC NPI is 1407055437. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Advanced Skin Center.

The provider's business location address is:

1813 W HARVARD AVE STE 310
ROSEBURG, OR
ZIP 97471-756
Phone: (541) 672-7546
Fax: (541) 957-8446

The provider's authorized official is Paul D Reicherter .
The authorized official title is President and has the following contact phone number (541) 672-7546.

The enumeration date for this NPI number is 7/11/2007 and was last updated on 2/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207NP0225X	Dermatology	Pediatric Dermatology	MD23536	OREGON	No
2	207NS0135X	Dermatology	Procedural Dermatology	MD23536	OREGON	No
3	207N00000X	Dermatology		MD23536	OREGON	No
4	207ND0101X	Dermatology	MOHS-Micrographic Surgery	MD23536	OREGON	No
5	207NI0002X	Dermatology	Clinical & Laboratory Dermatological Immunology	MD23536	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	286785	OTHER	OREGON	OHP
2	DC5977	OTHER		MEDICARE RAILROAD
3	38D1028702	OTHER	OREGON	CLIA
4	H50692	MEDICARE UPIN	OREGON
5	838392000	OTHER	OREGON	BCBS
6	286785	MEDICAID	OREGON
7	R120005	MEDICARE PIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »