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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
31062 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
242 WHIPPLE ST |
City | PRESCOTT |
State | AZ |
Zip Code | 86301-1787 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
Find all providers in zip 86301 |
Taxonomy Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
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. |
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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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.