LYNN LEROY JURACEK (NPI# 1083608699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083608699 |
| Entity Type | Individual |
| Full Name | LYNN LEROY JURACEK |
| Credential | MD |
| Practice Address |
14239 W Bell Rd Suite 101 Surprise AZ 85374-2469 |
| Practice Telephone | 6235447755 |
| Practice Fax Number | 6235448665 |
| Mailing Telephone | 6235447755 |
| Mailing Fax Number | 6235448665 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2013-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 30022 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
30022 | AZ | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
30022 | AZ | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
30022 | AZ | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
30022 | AZ | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
30022 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
14239 W BELL RD SUITE 101 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-2469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893425 | Surprise Pediatrics | Legal Medicine | 14239 W Bell Rd, Suite 112, Surprise, AZ 85374-2469 | 2005-06-29 |
| 1265862205 | William Walsh | Home Health | 14239 W Bell Rd, Suite 219, Surprise, AZ 85374-2469 | 2013-11-12 |
| 1265783682 | Arizona Mini Dental Implant Centers At Sun City Communities, LLC | Dentist | 14239 W Bell Rd, Suite 220, Surprise, AZ 85374-2469 | 2012-09-25 |
| 1770856007 | Caseldine Dental, Surprise, Pllc | Dentist | 14239 W Bell Rd, Suite 220, Surprise, AZ 85374-2469 | 2012-02-16 |
| 1548591886 | Surprise Family Medicine Plc | Family Medicine | 14239 W Bell Rd, Ste 225, Surprise, AZ 85374-2469 | 2010-01-27 |
| 1366680274 | Dht Hand Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 14239 W Bell Rd, Suite 110, Surprise, AZ 85374-2469 | 2009-01-30 |
| 1225276330 | Dht Hand Therapy Limited Partnership | Physical Therapist | 14239 W Bell Rd, Suite 110, Surprise, AZ 85374-2469 | 2009-01-27 |
| 1134303837 | Daryl R Marcelo | Pediatrics | 14239 W Bell Rd, Suite 112, Surprise, AZ 85374-2469 | 2007-12-18 |
| 1235335852 | Advanced Care for Women | Obstetrics & Gynecology | 14239 W Bell Rd, Ste 200, Surprise, AZ 85374-2469 | 2007-06-21 |
| 1932225802 | Steven C. Horrocks | Family Medicine | 14239 W Bell Rd, Ste 225, Surprise, AZ 85374-2469 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| 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 |
|---|---|---|---|---|
| 1992061162 | Arizona Dermatology Specialists, Pllc | Dermatology | 14800 W. Mountain View Blvd., Ste. 160, Surprise, AZ 85374-2700 | 2012-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114567997 | J. Robert West, M.d., Inc | Dermatology | 12251 N 32nd St Ste 12, Phoenix, AZ 85032-7144 | 2020-01-09 |
| 1093228314 | Scottsdale Dermatology and Cosmetic Surgery Pllc | Dermatology | 10210 N 92nd St Ste 300, Scottsdale, AZ 85258-4525 | 2017-11-08 |
| 1548652878 | Dustin James Mullens | Dermatology | 7331 E Osborn Dr Ste 250, Scottsdale, AZ 85251-6415 | 2015-02-24 |
| 1386061257 | Lauren Marie Ogrich | Dermatology | 20201 N Scottsdale Healthcare Dr Ste 260, Scottsdale, AZ 85255 | 2014-03-27 |
| 1922360601 | Lara E. Rosenbaum | Dermatology | 6316 W Union Hills Dr Ste 200, Glendale, AZ 85308-1001 | 2012-06-08 |
| 1396868337 | Donald P Kadunce | Dermatology | 735 Little Dr, Lake Havasu City, AZ 86406-8308 | 2007-04-06 |
| 1417906280 | Betty A Hinderks Davis | Dermatology | 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 | 2006-05-09 |
| 1821046772 | Vernon Thomas Mackey | Dermatology | 9191 W Thunderbird Rd, D-101, Peoria, AZ 85381-4270 | 2006-05-04 |
| 1629071907 | Julio Hernandez | Dermatology | 6525 W Sack Dr, Ste 307, Glendale, AZ 85308-7107 | 2005-05-31 |
| 1588297402 | Arizona Mohs Surgery, Pllc | Dermatology | 7530 N Oracle Rd Ste 102, Tucson, AZ 85704-4450 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
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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.