DR. DAFNIS CAROLINA CARRANZA (NPI# 1356521991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356521991 |
| Entity Type | Individual |
| Full Name | DR. DAFNIS CAROLINA CARRANZA |
| Credential | M.D. |
| Practice Address |
701 Medical Park Dr Humboldt TN 38343-3034 |
| Practice Telephone | 7317844300 |
| Practice Fax Number | 7317844308 |
| Mailing Telephone | 7317844300 |
| Mailing Fax Number | 7317844308 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2011-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 43760 | TN | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
43760 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RR MEDICARE | P00634097 | 01 |
| TN | 3001556 | 05 |
| Street Address |
701 MEDICAL PARK DR |
| City | HUMBOLDT |
| State | TN |
| Zip Code | 38343-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497759807 | Bernhard Eric Dietz | Family Medicine | 701 Medical Park Dr, Humboldt, TN 38343-3034 | 2005-06-13 |
| 1992258826 | Christin Gray | Nurse Practitioner | 701 Medical Park Dr, Humboldt, TN 38343-3034 | 2016-07-27 |
| 1396298204 | Joseph Cecil Mallette | Physician Assistant | 701 Medical Park Dr, Humboldt, TN 38343-3034 | 2016-07-27 |
| 1508275678 | Jodi Ann Burgess | Dermatology | 701 Medical Park Dr, Humboldt, TN 38343-3034 | 2014-08-03 |
| 1467860668 | Megan Latimer Phillips | Physician Assistant | 701 Medical Park Dr, Humboldt, TN 38343-3034 | 2014-07-31 |
| 1205124716 | Kelly Napier Johnston | Physician Assistant | 701 Medical Park Dr, Humboldt, TN 38343-3034 | 2011-07-18 |
| 1164715884 | Dermatology and Skin Cancer Consultants, Pllc | Dermatology | 701 Medical Park Dr, Humboldt, TN 38343-3034 | 2011-05-27 |
| 1417963570 | Patricia Craig Booher | Registered Nurse | 701 Medical Park Dr, Humboldt, TN 38343-3034 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
| 1942774336 | Lisa Danielle Taylor | Occupational Therapy Assistant | 3513 Chere Carol Rd., Humboldt, TN 38343 | 2019-01-18 |
| 1336633916 | Rachel Mccarley | Physical Therapist | 2400mitchell St, Humboldt, TN 38343 | 2018-06-18 |
| 1346521911 | Barbara Jean Potts | Registered Nurse | 149 12th Street, Humboldt, TN 38343 | 2011-09-08 |
| 1871881920 | Joyce Ama Addo | Physician Assistant | 1804 Main Street, Rainbow Pediatric, Humboldt, TN 38343 | 2011-07-11 |
| 1508161126 | Rhatrenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 195 Turner's Loop, Humboldt, TN 38343 | 2011-01-12 |
| 1053616672 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 Turner's Loop, Humboldt, TN 38343 | 2011-01-12 |
| 1013219252 | Behavioral Outreach Services, LLC | Community/Behavioral Health | 142 Mason Cemetery Rd, Humboldt, TN 38343 | 2010-11-19 |
| 1528373131 | Edmon Jonh Moreno Hilario | Physical Therapist | 2400 Mitchell Street, Humboldt, TN 38343 | 2010-08-09 |
| 1326376948 | Humboldt Area Rescue Squad/ems | Ambulance | 2707 East End Drive, Humboldt, TN 38343 | 2009-11-19 |
| Find all providers in zip 38343 | ||||
| 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 |
|---|---|---|---|---|
| 1164715884 | Dermatology and Skin Cancer Consultants, Pllc | Dermatology | 701 Medical Park Dr, Humboldt, TN 38343-3034 | 2011-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295824415 | Tricities Skin and Cancer | Dermatology | 1009 N State of Franklin Access Road Suite A, Johnson City, TN 37604 | 2006-10-12 |
| 1457448599 | Brent Moody | Dermatology | 1900 Patterson St Ste 201, Nashville, TN 37203 | 2006-10-09 |
| 1942238902 | East Tennessee Medical Group, PC | Dermatology | 266 Joule Street, Alcoa, TN 37701-2422 | 2006-06-29 |
| 1881658243 | Adult & Pediatric Dermatology of Tullahoma PC | Dermatology | 100 William Northern Blvd, Ste C, Tullahoma, TN 37388 | 2006-04-13 |
| 1851369391 | Thomas Paul Chu | Dermatology | 520 Trinity Creek Cv, Cordova, TN 38018-2279 | 2006-03-10 |
| 1770550659 | Frances Beard | Dermatology | 1455 Union Avenue, Memphis, TN 38104-6727 | 2006-03-01 |
| 1275506404 | Rex Allen Amonette | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2006-02-08 |
| 1184608416 | Julie M Pena | Dermatology | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2005-11-30 |
| 1306849500 | Steve Leroy Peterson | Dermatology | 1009 North State of Franklin Access Road, Johnson City, TN 37604 | 2005-05-23 |
| 1255938502 | Uderm, Pllc | Dermatology | 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363-4515 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DAFNIS CAROLINA CARRANZA.
| 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.