ROBERT HADLEY HARGROVE (NPI# 1114940343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114940343 |
| Entity Type | Individual |
| Full Name | ROBERT HADLEY HARGROVE |
| Credential | M.D. |
| Practice Address |
10 Sierra Gate Plz Ste 120 Roseville CA 95678-6647 |
| Practice Telephone | 9167841155 |
| Practice Fax Number | 9167730995 |
| Mailing Telephone | 9167841155 |
| Mailing Fax Number | 9167730995 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G46499 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS | 680021148 | 01 |
| CO | BLUE SHIELD | 680021148 | 01 |
| CA | 00G464990 | 05 | |
| CA | UNITED HEALTHCARE | 680021148 | 01 |
| Street Address |
10 SIERRA GATE PLZ STE 120 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-6647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1740411628 | Javier Rangel | Dermatology | 2120 Professional Dr # 140, Roseville, CA 95661-3700 | 2009-07-27 |
| 1598981763 | Kathryn Boyse Gant | Dermatology | 258 Gibson Dr, Ste 140, Roseville, CA 95678-5881 | 2007-04-17 |
| 1548366727 | Scott B Hearth | Dermatology | 1535 Eureka Rd, Roseville, CA 95661-3040 | 2006-09-15 |
| 1255447215 | Usha R Sood | Dermatology | 18285 Ten Mile Rd, Suite 130, Roseville, MI 48066 | 2006-08-22 |
| 1508803263 | Roseville Dermatology Inc. | Dermatology | 1211 Pleasant Grove Blvd, Suite 100, Roseville, CA 95678-6971 | 2006-06-01 |
| 1629051677 | Adam Adair Pettey | Dermatology | 2120 Professional Dr, Roseville, CA 95661-3700 | 2005-11-23 |
| 1184628000 | Gregory Michael Bricca | Dermatology | 9269 Sierra College Blvd, Roseville, CA 95661 | 2005-06-09 |
| 1003327545 | West Oak Dermatology Inc | Dermatology | 258 Gibson Dr, Ste 140, Roseville, CA 95678-5881 | 2017-10-23 |
| 1972856490 | Nalini G Prasad | Dermatology | 1650 Lead Hill Blvd, Suite 400, Roseville, CA 95661-3061 | 2012-10-22 |
| Find all providers in ROSEVILLE | ||||
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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.