Dermatology
J SEMMES MICKELWAIT MD PS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1114950375 · enumerated 2006-07-09 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: J MICKELWAIT MD, Owner · (360) 424-4186
Other names: ADVANCED DERMATOLOGY AND SKIN RENEWAL CENTER
Addresses and phones
- Mailing address 1420 ROOSEVELT AVE, SUITE 7, MOUNT VERNON, WA, 98273-2687 (360) 424-4186 Fax (360) 428-0927 Google Maps Apple Maps OpenStreetMap
- Practice location 1420 ROOSEVELT AVE, SUITE 7, MOUNT VERNON, WA, 98273-2687 (360) 424-4186 Fax (360) 428-0927 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary
In this directory
Locations and evidence
-
Practice location
MOUNT VERNON, WA, 982732687
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.