SKIN CANCER SPECIALISTS, LTD (NPI# 1376893164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376893164 |
| Entity Type | Organization |
| Organization Name | SKIN CANCER SPECIALISTS, LTD |
| Practice Address |
2250 W Southern Ave Suite 102 Mesa AZ 85202-4736 |
| Practice Telephone | 4808355532 |
| Practice Fax Number | 4809620106 |
| Mailing Telephone | 4808355532 |
| Mailing Fax Number | 4809620106 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | ROBERT D. GRIEGO (PRESIDENT) |
| Authorized Official Telephone | 4808355532 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
2250 W SOUTHERN AVE SUITE 102 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639431653 | Desert Cliffs Surgery Center LLC | Clinic/Center | 2250 W Southern Ave, Ste 101, Mesa, AZ 85202-4736 | 2012-06-14 |
| 1346660628 | Alicia Buckner | Physician Assistant | 2250 W Southern Ave, Ste 102, Mesa, AZ 85202-4736 | 2014-04-24 |
| 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 | 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 |
|---|---|---|---|---|
| 1114567997 | J. Robert West, M.d., Inc | Dermatology | 12251 N 32nd St Ste 12, Phoenix, AZ 85032-7144 | 2020-01-09 |
| 1093228314 | Scottsdale Dermatology and Cosmetic Surgery Pllc | Dermatology | 10210 N 92nd St Ste 300, Scottsdale, AZ 85258-4525 | 2017-11-08 |
| 1548652878 | Dustin James Mullens | Dermatology | 7331 E Osborn Dr Ste 250, Scottsdale, AZ 85251-6415 | 2015-02-24 |
| 1386061257 | Lauren Marie Ogrich | Dermatology | 20201 N Scottsdale Healthcare Dr Ste 260, Scottsdale, AZ 85255 | 2014-03-27 |
| 1922360601 | Lara E. Rosenbaum | Dermatology | 6316 W Union Hills Dr Ste 200, Glendale, AZ 85308-1001 | 2012-06-08 |
| 1992061162 | Arizona Dermatology Specialists, Pllc | Dermatology | 14800 W. Mountain View Blvd., Ste. 160, Surprise, AZ 85374-2700 | 2012-04-02 |
| 1396868337 | Donald P Kadunce | Dermatology | 735 Little Dr, Lake Havasu City, AZ 86406-8308 | 2007-04-06 |
| 1417906280 | Betty A Hinderks Davis | Dermatology | 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 | 2006-05-09 |
| 1821046772 | Vernon Thomas Mackey | Dermatology | 9191 W Thunderbird Rd, D-101, Peoria, AZ 85381-4270 | 2006-05-04 |
| 1629071907 | Julio Hernandez | Dermatology | 6525 W Sack Dr, Ste 307, Glendale, AZ 85308-7107 | 2005-05-31 |
| Find all providers with the same taxonomy | ||||
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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.