Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bainbridge Skin Surgery and Consultative Dermatology PLLC

Organization Dermatology Physician · NPI 1033500806

Bainbridge Skin Surgery and Consultative Dermatology PLLC provides Dermatology Physician services in Bainbridge Island, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

271 Wyatt Way NE Ste 108
Bainbridge Island, WA 98110-2873
Phone: (206) 842-5666
Fax: (425) 742-8516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 46124 (WA)
Dermatology Physician Taxonomy 207N00000X · Licence 46124 (WA)

Record details

NPI number1033500806
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Duane Whitaker — Owner · (206) 842-5666
NPI enumeratedFebruary 13, 2015
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020
Mailing address271 Wyatt Way Ne, Suite 108, Bainbridge Island, WA 98110-2873

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