Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Epiphany Dermatology of Washington PLLC

Organization Dermatology Physician · NPI 1053142778

Epiphany Dermatology of Washington PLLC is a Dermatology Physician in Mercer Island, Washington. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7707 SE 27th St Ste 104
Mercer Island, WA 98040-2844
Phone: (512) 628-0465
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1053142778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gheorghe Pusta — Executive Director · (512) 628-0465
NPI enumeratedAugust 13, 2024
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730-3255

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