Healthcare Provider Details

I. General information

NPI: 1578512075
Provider Name (Legal Business Name): FRANK J BARON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 05/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8435 SE 68TH ST SUITE 118
MERCER ISLAND WA
98040-5249
US

IV. Provider business mailing address

22833 BOTHELL EVERETT HWY SUITE 201
BOTHELL WA
98021-9385
US

V. Phone/Fax

Practice location:
  • Phone: 206-232-7546
  • Fax: 206-275-0805
Mailing address:
  • Phone: 425-486-2340
  • Fax: 425-483-8135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD00015304
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberMD00015304
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberMD00015304
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: