LASER AND SKIN CARE CENTER OF MOBILE (NPI# 1023195393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023195393 |
| Entity Type | Organization |
| Organization Name | LASER AND SKIN CARE CENTER OF MOBILE |
| Practice Address |
3 Mobile Infirmary Cir Suite 303 Mobile AL 36607-3520 |
| Practice Telephone | 2514337946 |
| Practice Fax Number | 2514337778 |
| Mailing Telephone | 2514337946 |
| Mailing Fax Number | 2514337778 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LAWRENCE J CARPENTER JR. (OWNER) |
| Authorized Official Telephone | 2514337946 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
00021817 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
3 MOBILE INFIRMARY CIR SUITE 303 |
| City | MOBILE |
| State | AL |
| Zip Code | 36607-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364802 | Mobile Infirmary Association | General Acute Care Hospital | 3 Mobile Infirmary Cir, Mobile, AL 36607-3520 | 2005-05-31 |
| 1205480183 | Claudia Fantucci | Nurse Practitioner | 3 Mobile Infirmary Cir, Suite 212, Mobile, AL 36607 | 2019-07-29 |
| 1235653742 | Jessica Danielle Gates | Nurse Practitioner | 3 Mobile Infirmary Cir, Mobile, AL 36607-3520 | 2017-07-27 |
| 1578934899 | Joel Andrew James Miller | Nurse Practitioner | 3 Mobile Infirmary Cir, Suite 308, Mobile, AL 36607-3520 | 2015-10-13 |
| 1275941601 | Kara Elliott Boutwell | Nurse Practitioner | 3 Mobile Infirmary Cir, Suite 302b, Mobile, AL 36607-3520 | 2014-07-29 |
| 1104261973 | Jennifer Nicole Saizan | Nurse Practitioner | 3 Mobile Infirmary Cir, Suite 410, Mobile, AL 36607-3520 | 2013-05-06 |
| 1780939793 | Enoch M Toler | Obstetrics & Gynecology | 3 Mobile Infirmary Cir, Suite 303, Mobile, AL 36607-3520 | 2012-07-16 |
| 1881987014 | Barry Dale Ballard Jr. | Surgery | 3 Mobile Infirmary Cir, Suite 212, Mobile, AL 36607-3520 | 2011-05-20 |
| 1063714012 | Imc-cancer Surgery of Mobile, LLC | Surgery | 3 Mobile Infirmary Cir, Suite 305, Mobile, AL 36607-3520 | 2010-11-24 |
| 1982922167 | Jill Loftin Hawkins | Nurse Practitioner | 3 Mobile Infirmary Cir, Suite 212, Mobile, AL 36607-3520 | 2010-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821404559 | Cindy Strahan | Occupational Therapy Assistant | 2900 Sping Hill Ave, Mobile, AL 36607 | 2014-07-02 |
| 1043649072 | Rebecca Clara Eskridge | Speech-Language Pathologist | 200 C East Portier Ct., Mobile, AL 36607 | 2013-11-12 |
| 1497016794 | Gregory Mark Quatrino | Surgery | 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 | 2012-06-03 |
| 1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
| 1679711956 | Sheldon Scott Bradley | Nurse Practitioner | 1 Infirmary Circle, Mobile Infirmary Er, Mobile, AL 36607 | 2009-01-26 |
| 1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
| 1811035322 | George N Lukes | Dentist | 2653a Old Shell Road, Mobile, AL 36607 | 2007-02-05 |
| 1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
| 1790871242 | Cheryl Lambert Thames | Physical Therapist | 2006 Airport Blvd., Mobile, AL 36607 | 2006-10-04 |
| 1760576227 | Jane Bagwell Hale | Physical Therapist | 3202 Old Shell Road, Mobile, AL 36607 | 2006-10-02 |
| Find all providers in zip 36607 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| 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). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376725887 | Ronderos Aesthetics, LLC | Dermatology | 1132 Hillcrest Rd, Mobile, AL 36695-3920 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437334026 | John D. Sherrod, M.d., L.L.C. | Dermatology | 27625 Highway 98, Building B, Daphne, AL 36526-4816 | 2008-01-02 |
| 1033208541 | Retna A Billano | Dermatology | 4325 Dolly Ridge Road, Vestavia, AL 35243 | 2006-10-12 |
| 1558318477 | Sarah Boyce Sawyer | Dermatology | 201 Office Park Drive, Suite 250, Birmingham, AL 35223 | 2006-05-27 |
| 1740579036 | Adam Laughlin Sperduto | Dermatology | 2000 Stonegate Trl Ste 112, Vestavia Hls, AL 35242-2237 | 2011-04-07 |
| 1770782849 | Decatur Dermatology, PC | Dermatology | 1316 Somerville Rd Se, Suite 4, Decatur, AL 35601-4305 | 2007-07-17 |
| 1013004860 | John Stewart Peters | Dermatology | 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2006-10-05 |
| 1972562213 | Dermatology Associates Pa | Dermatology | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-03-23 |
| 1992777627 | Angelo Mancuso | Dermatology | 540 Hughes Rd, Madison, AL 35758-8959 | 2006-02-06 |
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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.