JILL J MCKENZIE (NPI# 1154513661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154513661 |
| Entity Type | Individual |
| Full Name | JILL J MCKENZIE |
| Credential | MD |
| Practice Address |
1100 S Dobson Rd 223 Chandler AZ 85286-6157 |
| Practice Telephone | 4808218888 |
| Practice Fax Number | 4808210888 |
| Mailing Telephone | (480) 821-8888 |
| Mailing Fax Number | 4808210888 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 44537 | AZ | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | ML20008852 | WA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD60175612 | WA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
44537 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15906 Mill Creek Blvd Ste 105, Mill Creek, WA 980121797 | 4253852009 | 4259390807 |
| Street Address |
1100 S DOBSON RD 223 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85286-6157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396725958 | Larry J. Sanders | Orthopaedic Surgery | 1100 S Dobson Rd, Suite 203, Chandler, AZ 85286-6157 | 2006-01-19 |
| 1952829582 | Tierney Rose Shea | Physician Assistant | 1100 S Dobson Rd, Chandler, AZ 85224 | 2017-09-04 |
| 1447775986 | Alyssa Smith | Nurse Practitioner | 1100 S Dobson Rd, Chandler, AZ 85286-6157 | 2017-08-06 |
| 1013312925 | East Valley Dermatology Rx, LLC | Dermatology | 1100 S Dobson Rd, #223, Chandler, AZ 85286-6157 | 2014-11-04 |
| 1699113696 | Maria R Brown | Surgery | 1100 S Dobson Rd, Chandler, AZ 85286-6157 | 2013-06-12 |
| 1053655043 | Michelle Yoo | Physician Assistant | 1100 S Dobson Rd, #100, Chandler, AZ 85286-6157 | 2012-11-15 |
| 1386871523 | Ryan Falsey | Dermatology | 1100 S Dobson Rd, #223, Chandler, AZ 85286-6157 | 2009-06-15 |
| 1932351624 | Yuliya S Schoenling | Physician Assistant | 1100 S Dobson Rd, Suite 223, Chandler, AZ 85286-6157 | 2008-10-14 |
| 1114178282 | Wendy Ann Ridenour | Physician Assistant | 1100 S Dobson Rd, Suite 223, Chandler, AZ 85286-6157 | 2008-10-07 |
| 1972752814 | Falcon Family Eye Care, P.C. | Optometrist | 1100 S Dobson Rd, Chandler, AZ 85286-6157 | 2008-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780202804 | Cep America- Arizona, PC | Emergency Medicine | 1405 S. Alma School Rd., Chandler, AZ 85286 | 2020-07-07 |
| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1033776455 | Premier Orthodontic Specialists Pllc | Dentist | 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 | 2019-05-21 |
| 1871056978 | Erica Satoko Sugiyama-hill | Counselor | 3042 West Queen Creek Rd, Chandler, AZ 85286 | 2019-04-08 |
| 1235693169 | Shumway Dental Care Pllc | Dentist | 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 | 2019-01-24 |
| 1568968287 | Reita Jenae Juarez | Counselor | 3042 W Queen Creek Road, Chandler, AZ 85286 | 2018-04-02 |
| 1205348984 | Seriously Speaking, LLC. | Speech-Language Pathologist | 650 E. Woodsman Place, Chandler, AZ 85286 | 2017-11-02 |
| 1689194920 | Kyle D. Byrne | Physician Assistant | 1100 S Dobson Rd Ste 203, Chandler, AZ 85286 | 2017-06-27 |
| 1053844183 | Omar Faisal Saleem | Internal Medicine | 1405 S Alma School Road, Attn Amanda Gump/ Hospitalists, Chandler, AZ 85286 | 2017-04-05 |
| 1629427539 | Bryanda Silva | Specialist/Technologist | 2350 E Germann Rd #33, Chandler, AZ 85286 | 2016-06-10 |
| Find all providers in zip 85286 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1992061162 | Arizona Dermatology Specialists, Pllc | Dermatology | 14800 W. Mountain View Blvd., Ste. 160, Surprise, AZ 85374-2700 | 2012-04-02 |
| 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 |
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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.