DR. RONALD M GLICK (NPI# 1235134412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235134412 |
| Entity Type | Individual |
| Full Name | DR. RONALD M GLICK |
| Credential | D.O. |
| Practice Address |
3940 E University Dr Mesa AZ 85205-6945 |
| Practice Telephone | 4809249235 |
| Practice Fax Number | 4808325501 |
| Mailing Telephone | 4809249235 |
| Mailing Fax Number | 4808325501 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2008-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 2012 | AZ | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
2012 | AZ | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
2012 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 278938 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623169 | Ronald S Glick | Orthopaedic Surgery | 4065 Quakerbridge Rd, Princeton Junction, NJ 08550-5243 | 2006-03-21 |
| 1083687966 | Ronald Martin Glick | Specialist | 3811 Ohara St, Suite 1135-e, Pittsburgh, PA 15213-2593 | 2006-02-10 |
| Street Address |
3940 E UNIVERSITY DR |
| City | MESA |
| State | AZ |
| Zip Code | 85205-6945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174730147 | Aap Dermatology & Cosmetic Surgery, P.C. | Dermatology | 3940 E University Dr, Suite One, Mesa, AZ 85205-6945 | 2007-05-17 |
| 1215945340 | Dennis Kay Lloyd | Dentist | 3940 E University Dr, Suite 2, Mesa, AZ 85205-6945 | 2006-08-04 |
| 1841298338 | Mary Mcgehee | Optometrist | 3940 E University Dr, Suite 5, Mesa, AZ 85205-6945 | 2005-07-08 |
| 1033115886 | Dawn Michelle Martin | Optometrist | 3940 E University Dr, Ste 5, Mesa, AZ 85205-6945 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| 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 |
|---|---|---|---|---|
| 1548779713 | Ryan Kirk Bingham | Dermatology | 2855 E Brown Rd Ste 22, Mesa, AZ 85213-4216 | 2017-09-20 |
| 1659829109 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 6644 E Baseline Rd, Mesa, AZ 85206-4438 | 2016-09-13 |
| 1659630713 | Robert Anderton | Dermatology | 4318 N Desert Oasis Cir, Mesa, AZ 85207-7246 | 2012-05-10 |
| 1962729160 | Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207 | 2010-04-27 |
| 1083841225 | Daniel Peterson Skinner Jr. | Dermatology | 2050 W Southern Ave Ste 102, Mesa, AZ 85202-4702 | 2009-06-15 |
| 1679685614 | Robert David Griego | Dermatology | 2250 W Southern, 102, Mesa, AZ 85202 | 2006-08-31 |
| 1770699134 | Zeena Irene Ubogy | Dermatology | 2150 S Dobson Road, Ste #1, Mesa, AZ 85202 | 2006-08-21 |
| 1053368134 | Alvin R. Fulkerson | Dermatology | 1242 E Mckellips Rd, Ste 103, Mesa, AZ 85203-2763 | 2006-05-27 |
| 1568416790 | Rcdc of Mesa Plc | Dermatology | 2158 N Gilbert Rd, Suite 121a, Mesa, AZ 85203-2109 | 2006-05-20 |
| 1851340467 | Jayshri Gamoth | Dermatology | 4540 E Baseline Rd Ste 109, Mesa, AZ 85206-4616 | 2006-05-09 |
| Find all providers in MESA | ||||
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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.