BETTY A HINDERKS DAVIS (NPI# 1417906280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417906280 |
| Entity Type | Individual |
| Full Name | BETTY A HINDERKS DAVIS |
| Other Name | BETTY A DAVIS |
| Credential | MD |
| Practice Address |
10240 W Indian School Rd Ste 115 Phoenix AZ 85037-5905 |
| Practice Telephone | (623) 243-9077 |
| Practice Fax Number | 6232719826 |
| Mailing Telephone | (623) 243-9077 |
| Mailing Fax Number | 6232719826 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
33887 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 055923 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14420 W Meeker Blvd, Ste 104, Sun City West, AZ 853755286 | 6235835300 | 6235835301 |
| Street Address |
10240 W INDIAN SCHOOL RD STE 115 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180960 | Elyse Renee Broucek | Physician Assistant | 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 | 2020-10-01 |
| 1720545239 | Brittany Dawn Silverman | Physician Assistant | 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 | 2019-02-21 |
| 1972086924 | Regency Reconstruction Pllc | Surgery | 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 | 2018-09-14 |
| 1215455753 | Stephanie Spahr | Physician Assistant | 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 | 2017-09-05 |
| 1356791461 | Caroline Carr | Dermatology | 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 | 2016-06-20 |
| 1508250432 | Benjamin Blaine Jones | Dermatology | 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 | 2015-03-28 |
| 1124377767 | Melanie Renae Crutchfield Whitten | Surgery | 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 | 2012-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| 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 |
| 1932630563 | Regency Skin Institute Pllc | Dermatology | 10240 W Indian School Rd, Suite 115, Phoenix, AZ 85037-5904 | 2017-03-24 |
| 1609291848 | Richard Lee Averitte Jr Pllc | Dermatology | 19646 N 27th Ave, Ste 305, Phoenix, AZ 85027-4017 | 2014-02-25 |
| 1972766921 | Amena Marie Deluca | Dermatology | 4512 N 40th St, Phoenix, AZ 85018-3604 | 2008-07-09 |
| 1225175441 | Camelback Dermatology & Skin Surgery, Inc | Dermatology | 4512 N 40th St, Phoenix, AZ 85018-3600 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1588297402 | Arizona Mohs Surgery, Pllc | Dermatology | 7530 N Oracle Rd Ste 102, Tucson, AZ 85704-4450 | 2020-02-19 |
| 1386091163 | Andrew Newman | Dermatology | 7331 E Osborn Dr Ste 250, Scottsdale, AZ 85251-6415 | 2016-05-20 |
| 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.