Peter B Odland (NPI# 1093896102, PAC ID# 9638163959) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1093896102 |
| PAC ID by PECOS | 9638163959 |
| Professional Enrollment ID | I20060329000312 |
| Full Name | Peter B Odland |
| Organization Legal Name | SKIN SURGERY CENTER, P.S. |
| Address |
1551 116th Ne Bellevue WA 98004-3888 |
| Phone Number | 4254538647 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2567456882 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1551 116th Ne, Bellevue, WA 98004-3888 | 4254538647 | SKIN SURGERY CENTER, P.S. |
| 1229 Madison St, Suite 1480, Seattle, WA 98104-3538 | 2063466647 | SKIN SURGERY CENTER, P.S. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 42% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 74% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 84% |
| Organization Legal Name | SKIN SURGERY CENTER, P.S. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel A Parine | Physician Assistant | Skin Surgery Center, P.s. | 1229 Madison St, Suite 1480, Seattle, WA 98104-3538 |
| Jodi Stengem Markus | Dermatology | Skin Surgery Center, P.s. | 1551 116th Ne, Bellevue, WA 98004-3888 |
| Nicole M Marshall | Physician Assistant | Skin Surgery Center, P.s. | 1229 Madison St, Suite 1480, Seattle, WA 98104-3538 |
| Annalisa K Gorman | Dermatology | Skin Surgery Center, P.s. | 1551 116th Ne, Bellevue, WA 98004-3888 |
| Mariam Totonchy | Dermatology | Skin Surgery Center, P.s. | 1229 Madison St, Suite 1480, Seattle, WA 98104-3538 |
| Sarah B Patton | Physician Assistant | Skin Surgery Center, P.s. | 1229 Madison St, Suite 1480, Seattle, WA 98104-3538 |
| Linda C Chang | Dermatology | Skin Surgery Center, P.s. | 1551 116th Ne, Bellevue, WA 98004-3888 |
| Street Address |
1551 116TH NE |
| City | BELLEVUE |
| State | WA |
| Zip | 98004-3888 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi Stengem Markus | Dermatology | Skin Surgery Center, P.s. | 1551 116th Ne, Bellevue, WA 98004-3888 |
| Annalisa K Gorman | Dermatology | Skin Surgery Center, P.s. | 1551 116th Ne, Bellevue, WA 98004-3888 |
| Linda C Chang | Dermatology | Skin Surgery Center, P.s. | 1551 116th Ne, Bellevue, WA 98004-3888 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tae Soon Park | Podiatry | Metroliance Foot and Ankle Group | 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 |
| Stacy S Donlan | Internal Medicine | 2950 Northup Way, Suite 210, Bellevue, WA 98004-1406 | |
| Glen A Curda | Podiatry | Metroliance Foot and Ankle Group | 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 |
| Meredith M Sargent | Clinical Psychologist | 2950 Northup Way, Suite 204, Bellevue, WA 98004-1406 | |
| Sang H Suh | Psychiatry | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1419 | |
| Tessa A Plana | Optometry | Pacific Cataract and Laser Institute Inc PC | 2606 116th Ave Ne, Suite 100, Bellevue, WA 98004-1422 |
| Jeffrey Walter Mattson | Optometry | Pacific Cataract and Laser Institute Inc PC | 2606 116th Ave Ne, Suite 100, Bellevue, WA 98004-1422 |
| Brian Carey | Ophthalmology | Pacific Cataract and Laser Institute Inc PC | 2606 116th Ave Ne, Suite 100, Bellevue, WA 98004-1422 |
| Michelle S Blumenzweig | Clinical Social Worker | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1438 | |
| Santosh A Agnani | Psychiatry | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1438 | |
| Find all physicians in zip 98004 | |||
| City | BELLEVUE |
| Zip Code | 98004 |
| Specialty | DERMATOLOGY |
| City + Specialty | BELLEVUE + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.