BETTENCOURT SKIN CENTER LLC (NPI# 1558444729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558444729 |
| Entity Type | Organization |
| Organization Name | BETTENCOURT SKIN CENTER LLC |
| Practice Address |
601 Whitney Ranch Dr Bldg C Ste 13 Henderson NV 89014-2643 |
| Practice Telephone | 7022577546 |
| Practice Fax Number | 7028704824 |
| Mailing Telephone | 7022577546 |
| Mailing Fax Number | 7028704824 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-12-12 |
| Authorized Official Name | MRS. MIRIAM S BETTENCOURT (OWNER) |
| Authorized Official Telephone | 7022577546 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 10084 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
601 WHITNEY RANCH DR BLDG C STE 13 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942343900 | Woodson Dermatology | Dermatology | 229 N Pecos Rd Ste 100, Henderson, NV 89074-7364 | 2007-02-15 |
| 1134289762 | Curt P Samlaska | Dermatology | 2839 St Rose Pkwy, Suite #100, Henderson, NV 89052 | 2006-12-12 |
| 1609866078 | Juian-juian L Fu | Dermatology | 861 Coronado Center Dr Ste 100, Henderson, NV 89052-3992 | 2005-10-26 |
| 1396210316 | Thomas Dermatology | Dermatology | 866 Seven Hills Dr Ste 201, Henderson, NV 89052-4376 | 2018-10-05 |
| 1124436480 | Leavitt Medical Associates of Nevada PC | Dermatology | 1701 N Green Valley Pkwy, Suite 7b, Henderson, NV 89074-5885 | 2014-07-30 |
| 1346585866 | Adam Christopher Harkiewicz | Dermatology | 861 Coronado Center Dr Ste 100, Henderson, NV 89052-3992 | 2012-12-10 |
| 1891048104 | J. Woodson Dermatology & Associates | Dermatology | 229 N Pecos Rd Ste 100, Henderson, NV 89074-7364 | 2012-10-24 |
| 1316201726 | Henderson Dermatology and Skin Cancer Inc | Dermatology | 2960 Saint Rose Pkwy, Suite 120, Henderson, NV 89052-4447 | 2012-06-29 |
| 1780727750 | Johnnie M. Woodson Jr. | Dermatology | 229 N Pecos Rd Ste 100, Henderson, NV 89074-7364 | 2007-02-15 |
| 1609932029 | Karl Heine Md | Dermatology | 880 Seven Hills Dr, Suite 150, Henderson, NV 89052-4371 | 2006-12-29 |
| Find all providers in HENDERSON | ||||
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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.