Organization provider

RUSSELLVILLE DERMATOLOGY CLINIC PA

Procedural Dermatology Physician

RUSSELLVILLE DERMATOLOGY CLINIC PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1477529436, based in Russellville, AR. It is classified under Procedural Dermatology Physician.

Getting there

The practice address on file is 1602 W MAIN ST, Russellville, AR 72801. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1602 W MAIN ST, Russellville, AR 72801 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MC0841 AR Procedural Dermatology Physician primary

This provider holds licence MC0841 issued in AR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Procedural Dermatology covers

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). NUCC Health Care Provider Taxonomy, code 207NS0135X
Allopathic & Osteopathic Physicians Dermatology Procedural Dermatology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1477529436 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateFeb 28, 2006
Last updatedMar 7, 2023
StatusActive
Practice address 1602 W MAIN ST
Russellville, AR 72801
(479) 968-6969
Fax (479) 968-4290
Mailing address PO BOX 843
Russellville, AR 72811
Other identifiers 110005002 (AR)
The last update on file is Mar 7, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1477529436 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 7 7 5 2 9 4 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 5 7 1 2 9 4 6

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1477529436?
NPI 1477529436 is the National Provider Identifier assigned to RUSSELLVILLE DERMATOLOGY CLINIC PA in Russellville, AR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Procedural Dermatology cover?
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration…
How do I contact RUSSELLVILLE DERMATOLOGY CLINIC PA?
The phone number on file with NPPES is (479) 968-6969, last updated Mar 7, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1477529436 a valid number?
Yes. 1477529436 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.