DR. ROBERT ALBIN MODIC


Address: 1450 S Dobson Rd, Suite 223, Mesa, AZ 85202-4712
Phone: 4809693551

DR. ROBERT ALBIN MODIC (NPI# 1275506289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275506289
Entity Type Individual
Full Name DR. ROBERT ALBIN MODIC
Credential MD
Practice Address 1450 S Dobson Rd
Suite 223
Mesa
AZ 85202-4712
Practice Telephone 4809693551
Practice Fax Number 4806440692
Mailing Telephone 4809693551
Mailing Fax Number 4806440692
Enumeration Date 2006-02-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 7739 AZ Allopathic & Osteopathic Physicians

Office Location

Street Address 1450 S DOBSON RD
SUITE 223
City MESA
State AZ
Zip Code 85202-4712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548256548 Heather E. Mangam Specialist 1450 S Dobson Rd, Suite B221, Mesa, AZ 85202-4712 2005-09-25
1164875373 Jonathan Munns Physician Assistant 1450 S Dobson Rd, B122, Mesa, AZ 85202-4712 2016-07-22
1558717447 Center for Orthopedic Research and Education, Inc Prosthetic/Orthotic Supplier 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 2016-05-10
1255732558 Robert Steinmeyer Physical Therapist 1450 S Dobson Rd, Mesa, Mesa, AZ 85202-4712 2014-09-06
1760812770 Audiology Distribution, LLC Audiologist-Hearing Aid Fitter 1450 S Dobson Rd, Suite A-203, Mesa, AZ 85202-4712 2013-11-13
1275967408 Center for Orthopedic Research and Educatoin Occupational Therapist 1450 S Dobson Rd, Ste A302, Mesa, AZ 85202-4712 2013-08-23
1023358223 John D Holmes Md PC Obstetrics & Gynecology 1450 S Dobson Rd, A207, Mesa, AZ 85202-4712 2013-02-25
1427308899 Brook David Rogers Physician Assistant 1450 S Dobson Rd, Suite A302, Mesa, AZ 85202-4712 2012-09-13
1487900817 Center for Orthopedic Research and Education, LLC Durable Medical Equipment & Medical Supplies 1450 S Dobson Rd, Suite B122, Mesa, AZ 85202-4712 2012-08-03
1225314115 April Marie Hofmann Physician Assistant 1450 S Dobson Rd, #320b, Mesa, AZ 85202-4712 2011-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275173536 Samuel A Wolde Counselor Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 2020-01-14
1912549171 Lauren Barbara Loges Occupational Therapist 2225 E. Southern Avenue, Mesa, AZ 85202 2019-10-09
1245724822 Medsource Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 2018-06-18
1457843310 Jay Douglas Baumgardner Physical Therapist 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 2018-06-05
1144746215 Alyson Fix Physician Assistant 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 2017-08-20
1194108852 Robert Dale Labrum Counselor 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 2015-06-30
1114325677 John David Shull Jr. Physician Assistant 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 2014-12-16
1316356207 Embry Womens Health LLC Nurse Practitioner 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 2014-08-05
1619312899 Fiza Naueed Khan Internal Medicine 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 2013-05-01
1487903373 Jodi Lynn Mealer Pharmacist 1951 W. Baseline Rd., Mesa, AZ 85202 2012-09-06
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City MESA
Zip Code 85202

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Dataset Information

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.

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