JEREMY K BINGHAM (NPI# 1235391889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235391889 |
| Entity Type | Individual |
| Full Name | JEREMY K BINGHAM |
| Credential | DO |
| Practice Address |
2855 E Brown Rd 22 Mesa AZ 85213-4213 |
| Mailing Address |
2855 E Brown Rd Ste 28 Mesa AZ 85213-4217 |
| Practice Telephone | 4806254538 |
| Mailing Telephone | 4806254538 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 5198 | AZ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 5198 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407327091 | Jeremy A Bingham | Nurse Practitioner | 104 Mccord Ct, Nolensville, TN 37135-9727 | 2018-12-08 |
| 1144725722 | Jeremy Dshun Bingham | Behavior Technician | 41521 W 11 Mile Rd # Nov, Novi, MI 48375-1803 | 2018-03-27 |
| Street Address |
2855 E BROWN RD 22 |
| City | MESA |
| State | AZ |
| Zip Code | 85213-4213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689669012 | Gary A Robison | Dentist | 2855 E Brown Rd, Ste 23, Mesa, AZ 85213-4213 | 2005-09-12 |
| 1083957906 | Bingham Dermatology Group, LLC | Dermatology | 2855 E Brown Rd, Suite 22, Mesa, AZ 85213-4213 | 2013-03-28 |
| 1679847214 | Natascha Ursula Hebell-fernando | Acupuncturist | 2855 E Brown Rd, Suite 17, Mesa, AZ 85213-4213 | 2012-02-29 |
| 1235440504 | Oral and Maxillofacial Associates of Arizona | Clinic/Center | 2855 E Brown Rd, Suite 15, Mesa, AZ 85213-4213 | 2010-07-01 |
| 1174857908 | Denise Ann Murray | Nurse Practitioner | 2855 E Brown Rd, #18, Mesa, AZ 85213-4213 | 2009-09-27 |
| 1528234663 | Mindy Hayden | Acupuncturist | 2855 E Brown Rd, Ste 17, Mesa, AZ 85213-4213 | 2008-05-07 |
| 1093909509 | Nathan George Woods | Dentist | 2855 E Brown Rd, Suite 15, Mesa, AZ 85213-4213 | 2007-08-29 |
| 1811189731 | Woolf Eye Clinic, Ltd | Specialist | 2855 E Brown Rd, Suite #10, Mesa, AZ 85213-4213 | 2007-08-14 |
| 1457573008 | Kristi Spencer | Dental Hygienist | 2855 E Brown Rd, Ste 15, Mesa, AZ 85213 | 2007-05-03 |
| 1831310978 | Craig A. Myrmel | Dentist | 2855 E Brown Rd, Suite 15, Mesa, AZ 85213-4213 | 2007-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
| 1679099402 | Roxanne Nicole Greene | Physical Therapist | 2642 E Fairfield St, Mesa, AZ 85213 | 2017-08-14 |
| 1861921405 | Cameron Kastl | Dentist | 820 E University Dr, Mesa, AZ 85213 | 2017-06-07 |
| 1033667860 | Ricardo Helaman Perez | Dentist | 459 North Val Vista Drive, Mesa, AZ 85213 | 2016-09-21 |
| 1902221039 | The U-turn Foundation | Psychiatric Residential Treatment Facility | 2941 E Contessa St., Mesa, AZ 85213 | 2014-02-26 |
| 1720354194 | Roberta Lynn Ray | Registered Nurse | 824 N Gentry St., Mesa, AZ 85213 | 2012-03-29 |
| 1639483647 | William Lawrence Hull IIi | Dentist | 2855 E Brown Rd Ste 5, Mesa, AZ 85213 | 2010-08-02 |
| 1619299286 | Arizona Internal Medicine Associates LLC | Internal Medicine | 3435 E. Kael St, Mesa, AZ 85213 | 2010-02-23 |
| 1568691863 | Kathleen Ann Ruffin | Dental Hygienist | 2855 E. Brown Rd, Suite 15, Mesa, AZ 85213 | 2009-07-08 |
| 1356584890 | Sw Sports Medicine & Orthopedic Surgery | Orthopaedic Surgery | 2835 E. Brown Rd., Ste. 101, Mesa, AZ 85213 | 2009-04-14 |
| Find all providers in zip 85213 | ||||
| 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 |
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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.