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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 7739 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
1450 S DOBSON RD SUITE 223 |
City | MESA |
State | AZ |
Zip Code | 85202-4712 |
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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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 |
Find all providers in zip 85202 |
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.