STACY ELEANOR THURBER


Address: 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827
Phone: 7146268603

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0900X Dermatology
Specialization: Dermatopathology
A84206 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 2141 N HARBOR BLVD
SUITE 25000
City FULLERTON
State CA
Zip Code 92835-3827

Providers in the same location

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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Providers in the same zip code

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 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 city

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

Providers in the same taxonomy and state

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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Competitor

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City FULLERTON
Zip Code 92835

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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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