J Semmes Mickelwait MD Ps
NPI 1114950375 · Dermatology Physician · Mount Vernon, WA
J Semmes Mickelwait MD Ps is a Dermatology Physician organization in Mount Vernon, WA (NPI 1114950375).
Provider details
- NPI number
- 1114950375
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- J Mickelwait, Owner(360) 424-4186
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Advanced Dermatology and Skin Renewal Center
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is J Semmes Mickelwait MD Ps's NPI number?
- J Semmes Mickelwait MD Ps's National Provider Identifier (NPI) is 1114950375, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is J Semmes Mickelwait MD Ps?
- J Semmes Mickelwait MD Ps is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is J Semmes Mickelwait MD Ps located?
- J Semmes Mickelwait MD Ps's practice location on file with NPPES is 1420 Roosevelt Ave, Mount Vernon, WA 98273-2687.
- What is J Semmes Mickelwait MD Ps's phone number?
- The practice phone number listed in the NPPES registry for J Semmes Mickelwait MD Ps is (360) 424-4186.
- Who is the authorized official for J Semmes Mickelwait MD Ps?
- The authorized official listed on J Semmes Mickelwait MD Ps's NPPES record is J Mickelwait, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is J Semmes Mickelwait MD Ps's NPI active?
- Yes — J Semmes Mickelwait MD Ps's NPI (1114950375) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.