STACY ELEANOR THURBER (NPI# 1497886048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497886048 |
Entity Type | Individual |
Full Name | STACY ELEANOR THURBER |
Credential | M.D. |
Practice Address |
2141 N Harbor Blvd Suite 25000 Fullerton CA 92835-3827 |
Mailing Address |
2141 N Harbor Blvd Ste 25000 Fullerton CA 92835-3830 |
Practice Telephone | 7146268603 |
Practice Fax Number | 7146268696 |
Mailing Telephone | 7146268603 |
Mailing Fax Number | 7146268696 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-10-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
A84206 | CA | Allopathic & Osteopathic Physicians |
Street Address |
2141 N HARBOR BLVD SUITE 25000 |
City | FULLERTON |
State | CA |
Zip Code | 92835-3827 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548268287 | Shahram Solhpour | Orthopaedic Surgery | 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835-3827 | 2005-07-07 |
1700214913 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 | 2013-10-25 |
1396093738 | Alison Owen Brown | Nurse Practitioner | 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 | 2012-08-15 |
1760773014 | Michelle T Ngo | Internal Medicine | 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 | 2011-04-20 |
1972730323 | Jana Nicole Lada | Physician Assistant | 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835-3827 | 2009-06-12 |
1578715801 | Allen Y Tham | Orthopaedic Surgery | 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835-3827 | 2008-10-17 |
1053571828 | Lisbeth Marie Keplinger | Podiatrist | 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835-3827 | 2008-06-14 |
1326212994 | Michael Tsinberg | Surgery | 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835-3827 | 2008-04-15 |
1245422658 | Brian Somoano | Dermatology | 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 | 2007-08-10 |
1750452652 | Karen Elizabeth Evensen | Orthopaedic Surgery | 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835-3827 | 2006-11-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
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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 |
---|---|---|---|---|
1083801393 | Julie A Hodge Md A California Professional Medical Corporation | Dermatology | 1440 N Harbor Blvd Ste 300, Fullerton, CA 92835-4116 | 2007-10-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
1487011995 | Brouha Dermatology, P.C. | Dermatology | 1319 Beryl St, San Diego, CA 92109-2102 | 2016-01-28 |
1528317419 | Heidi M Gilchrist, Md, Inc. | Dermatology | 345 Saxony Road Suite 201, Encinitas, CA 92024-2787 | 2012-09-06 |
1194028233 | Pavillion Asc Inc. | Dermatology | 28901 S. Western Avenue #127, Rancho Palos Veredes, CA 90275 | 2010-12-13 |
1093021495 | Douglas G Hamilton Medical Corp | Dermatology | 6325 Topanga Canyon Blvd Ste 301, Woodland Hills, CA 91367-2029 | 2010-08-23 |
1124254933 | Ronnie M Abraham | Dermatology | 3440 Empresa Dr Ste B, San Luis Obispo, CA 93401 | 2009-06-08 |
1316187180 | Choice Telemed | Dermatology | 2001 Union St Ste 495, San Francisco, CA 94123-4128 | 2009-03-05 |
1063686707 | James D. Jacobitz, M.d. Inc. | Dermatology | 190 Eucalyptus Dr, San Francisco, CA 94132-1629 | 2008-04-14 |
1407034481 | Richard P Klimkowski Md PC | Dermatology | 224 Del Mar, #b, San Clemente, CA 92672-4011 | 2008-02-01 |
1457538415 | S. Gayle Widyolar, M.d., Inc. | Dermatology | 21 Montecito Dr, Corona Del Mar, CA 92625-1017 | 2008-01-22 |
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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.