SOUTHWEST SKIN & CANCER INSTITUTE LTD


Address: 242 Whipple St, Prescott, AZ 86301-1787
Phone: 9287780808

SOUTHWEST SKIN & CANCER INSTITUTE LTD (NPI# 1427428416) 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) 1427428416
Entity Type Organization
Organization Name SOUTHWEST SKIN & CANCER INSTITUTE LTD
Practice Address 242 Whipple St
Prescott
AZ 86301-1787
Practice Telephone 9287780808
Practice Fax Number 9287784788
Mailing Telephone 9287780808
Mailing Fax Number 9287784788
Enumeration Date 2015-10-02
Last Update Date 2015-10-02
Authorized Official Name DR. ROBIN M FLECK (OWNER/SOLE MEMBER)
Authorized Official Telephone 9287780808
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0900X Dermatology
Specialization: Dermatopathology
31062 AZ Allopathic & Osteopathic Physicians

Office Location

Street Address 242 WHIPPLE ST
City PRESCOTT
State AZ
Zip Code 86301-1787

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265472138 Douglas Wayne Rothrock Specialist 242 Whipple St, Prescott, AZ 86301-1787 2006-06-07
1558997742 Heart Shop, LLC Internal Medicine 242 Whipple St, Prescott, AZ 86301-1787 2020-03-19
1720249972 Vein Specialties, LLC Clinic/Center 242 Whipple St, Prescott, AZ 86301-1787 2008-06-20
1679649552 Catherine C. Ohsiek-lesnick Surgery 242 Whipple St, Prescott, AZ 86301-1787 2006-11-24

Providers in the same zip code

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1871102350 Dove Marie Gundermann Specialist/Technologist 300 W. Gurley St, Prescott, AZ 86301 2020-07-30
1639712110 Arizona Orthopedic Physical Therapy, Pllc Clinic/Center 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 2019-10-28
1538714092 Prescott Complete Care Family Medicine 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 2019-08-01
1336612571 Sarah Elizabeth Elliott Registered Nurse 500 Az 89, Prescott, AZ 86301 2019-01-10
1912484270 Asya Ruth Perkins Counselor 225 Grove Avenue, Prescott, AZ 86301 2018-07-19
1396241394 Jerome Alexander Longoria Chiropractor 142 N. Rush St, Prescott, AZ 86301 2018-03-30
1619487675 Yavapai Healthcare Group LLC Nurse Practitioner 999 Division Street, Prescott, AZ 86301 2017-10-04
1053835843 United States Veterans Initiative Counselor 917 E Gurley St, Prescott, AZ 86301 2017-08-02
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Taxonomy Information

Taxonomy Code 207ND0900X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750800033 Hw Dermatology Pllc Dermatology 10238 E Hampton Ave Ste 404, Mesa, AZ 85209-3319 2017-09-18
1194028266 Cynthia Anne O'neil Dermatology 516 E Whitehouse Canyon Rd, Green Valley, AZ 85614-0531 2010-12-13
1639295843 James Kalivas Dermatology 3442 E Pyrenees Pass, Phoenix, AZ 85018-1553 2007-03-21
1669514030 Richard Charles Miller Dermatology 2375 N Wyatt Drive, Suite 108, Tucson, AZ 85712-2152 2007-02-13
1972565109 Toni Cyd Stockton Dermatology 16611 S. 40th Street, Suite 100, Phoenix, AZ 85048 2006-04-04
1699743294 Mary Elizabeth Landau-levine Dermatology 14301 N 87th St Ste 107, Scottsdale, AZ 85260 2006-03-09
1851376305 Iftikhar Ahmed Dermatology 14019 S 8th St, Phoenix, AZ 85048-4459 2005-12-07
1538142625 Karen E Warschaw Dermatology 9060 E Via Linda, Suite 150, Scottsdale, AZ 85258-5417 2005-11-22
1467457267 Jill A Cohen Dermatology 7485 E Tanque Verde Rd, Tucson, AZ 85715-3477 2005-06-17
1831606144 Concierge Healthcare of Az Chaz LLC Dermatology 7702 E Doubletree Ranch Rd Ste 300, Scottsdale, AZ 85258-2132 2018-01-08
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Competitor

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City PRESCOTT
Zip Code 86301

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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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