SKIN CANCER AND DERMATOLOGY INSTITUTE (NPI# 1003905001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003905001 |
| Entity Type | Organization |
| Organization Name | SKIN CANCER AND DERMATOLOGY INSTITUTE |
| Practice Address |
3950 Gs Richards Blvd Carson City NV 89703-8457 |
| Mailing Address |
640 W Moana Ln Reno NV 89509-4997 |
| Practice Telephone | 7758828777 |
| Practice Fax Number | 7758888067 |
| Mailing Telephone | 7753240699 |
| Mailing Fax Number | 7758888067 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-05-17 |
| Authorized Official Name | MS. LORI J GIBBONS (BUSINESS MANAGER) |
| Authorized Official Telephone | 7753363624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
NV | Allopathic & Osteopathic Physicians |
| Street Address |
3950 GS RICHARDS BLVD |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89703-8457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740633015 | Mountain West Derm - Blackhart Pllc | Dermatology | 3950 Gs Richards Blvd, Carson City, NV 89703-8457 | 2016-07-21 |
| 1134479371 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 3950 Gs Richards Blvd, Carson City, NV 89703-8457 | 2012-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215232 | Madison M Gurries | Audiologist | 1493 Medical Parkway, Carson City, NV 89703 | 2019-06-24 |
| 1609332949 | Tsl Skyline Estates, LLC | Assisted Living Facility | 2705 Mountain St., Carson City, NV 89703 | 2019-02-12 |
| 1790252120 | Reno Orthopaedic Clinic Inc. | Physical Therapist | 1365 Medical Parkway, Carson City, NV 89703 | 2018-10-24 |
| 1265910970 | Marvel Dental Carson City, LLC | Clinic/Center | 410 Fleischmann Way Suite A., Carson City, NV 89703 | 2018-08-03 |
| 1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
| 1518351089 | Christopher Vlasek | Family Medicine | 412 W John St Ste B, Carson City, NV 89703 | 2015-03-23 |
| 1902215254 | Grant Vaughn Davis | Behavioral Analyst | 1316 Monte Rosa Drive, Carson City, NV 89703 | 2014-08-11 |
| 1437563152 | Nina Patynowski | Nurse Practitioner | 415 W Sofia St, Ste 100, Carson City, NV 89703 | 2014-06-20 |
| 1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
| 1790094076 | Darlene Parrish | Occupational Therapy Assistant | 3050 N. Ormsby Bl, Carson City, NV 89703 | 2010-10-04 |
| Find all providers in zip 89703 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740633015 | Mountain West Derm - Blackhart Pllc | Dermatology | 3950 Gs Richards Blvd, Carson City, NV 89703-8457 | 2016-07-21 |
| 1780852368 | Clemmensen, Adams, & Tack Psc | Dermatology | 1100 S Carson St, Carson City, NV 89701-5232 | 2008-02-15 |
| 1841214632 | Ruth Elizabeth Adams | Dermatology | 1100 S Carson St, Carson Dematology, Carson City, NV 89701-5232 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323362 | Fife Dermatology PC | Dermatology | 2110 E Flamingo Rd # 213, Las Vegas, NV 89119-5190 | 2019-06-05 |
| 1821569138 | Fife Dermatology, P.C. | Dermatology | 1736 W. Horizon Ridge Parkway, Henderson, NV 89012 | 2018-12-13 |
| 1073820536 | Lauren Michelle Lee | Dermatology | 276 Kingsbury Grade Ste 101, Stateline, NV 89449-9804 | 2010-09-04 |
| 1407992217 | Daniel Taheri Md PC | Dermatology | 5731 S Fort Apache Rd Ste 130, Las Vegas, NV 89148-5666 | 2007-01-29 |
| 1063595924 | Martin E. Salm, M.d., Ltd. | Dermatology | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449-5910 | 2006-10-23 |
| 1083636369 | James Del Rosso | Dermatology | 9097 W Post Rd Ste 100, Las Vegas, NV 89148-2417 | 2006-07-24 |
| 1174923221 | F. Victor Rueckl Dermatology, Pllc | Dermatology | 8861 W Sahara Ave Ste 290, Las Vegas, NV 89117-4808 | 2014-08-26 |
| 1740516699 | Fife Dermatology, P.C. | Dermatology | 6460 Medical Center St, Ste 350, Las Vegas, NV 89148-2406 | 2009-10-28 |
| 1649505496 | Mac Lee Machan | Dermatology | 6460 Medical Center St Ste 350, Las Vegas, NV 89148-2423 | 2009-10-13 |
| 1972750370 | Grace Kyung Kim | Dermatology | 2615 Box Canyon Dr, Las Vegas, NV 89128-0450 | 2008-08-27 |
| Find all providers with the same taxonomy | ||||
| City | CARSON CITY |
| Zip Code | 89703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.