DR. YEBABE MELAK MENGESHA (NPI# 1689687410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689687410 |
Entity Type | Individual |
Full Name | DR. YEBABE MELAK MENGESHA |
Credential | MD |
Practice Address |
19646 N 27th Ave Suite 305 Phoenix AZ 85027-4017 |
Mailing Address |
20401 N 73rd St Suite 230 Scottsdale AZ 85255-4107 |
Practice Telephone | 4805560446 |
Practice Fax Number | 4805560447 |
Mailing Telephone | 4805560446 |
Mailing Fax Number | 4805560447 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2015-10-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
32769 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 137317 | 05 |
Street Address |
19646 N 27TH AVE SUITE 305 |
City | PHOENIX |
State | AZ |
Zip Code | 85027-4017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215927892 | Paragi R Shah | Obstetrics & Gynecology | 19646 N 27th Ave, Ste 403, Phoenix, AZ 85027-4017 | 2005-10-25 |
1417345919 | Arizona Oncology Associates PC | Physician Assistant | 19646 N 27th Ave, Ste. # 406, Phoenix, AZ 85027-4028 | 2015-01-06 |
1609291848 | Richard Lee Averitte Jr Pllc | Dermatology | 19646 N 27th Ave, Ste 305, Phoenix, AZ 85027-4017 | 2014-02-25 |
1326471640 | Lisa Kay Dela Cruz | Nurse Practitioner | 19646 N 27th Ave, Suite 301, Phoenix, AZ 85027-4017 | 2013-08-11 |
1932471323 | John C. Lincoln Genetics Cancer Risk | Medical Genetics | 19646 N 27th Ave, Ste. 201, Phoenix, AZ 85027-4017 | 2012-02-01 |
1033498399 | Breast Imaging Specialists of Arizona, LLC | Radiology | 19646 N 27th Ave, Ste. 205, Phoenix, AZ 85027-4017 | 2011-08-04 |
1184866386 | John C Lincoln LLC | Clinic/Center | 19646 N 27th Ave, Suite 205, Phoenix, AZ 85027 | 2009-04-02 |
1942462767 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 19646 N 27th Ave, Suite 408, Phoenix, AZ 85027 | 2008-07-02 |
1629268503 | Yamini Subbiah | Internal Medicine | 19646 N 27th Ave, Suite 301 Dr. Subbiah-gastroenterology (care for Women), Phoenix, AZ 85027-4017 | 2007-07-27 |
1689701682 | Loretta Jo Nevarez-kells | Nurse Practitioner | 19646 N 27th Ave, Ste. # 403, Phoenix, AZ 85027-4017 | 2007-02-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
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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 |
---|---|---|---|---|
1639295843 | James Kalivas | Dermatology | 3442 E Pyrenees Pass, Phoenix, AZ 85018-1553 | 2007-03-21 |
1972565109 | Toni Cyd Stockton | Dermatology | 16611 S. 40th Street, Suite 100, Phoenix, AZ 85048 | 2006-04-04 |
1851376305 | Iftikhar Ahmed | Dermatology | 14019 S 8th St, Phoenix, AZ 85048-4459 | 2005-12-07 |
1407167596 | Ahwatukee Skin & Laser LLC | Dermatology | 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619 | 2010-06-23 |
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 |
1669514030 | Richard Charles Miller | Dermatology | 2375 N Wyatt Drive, Suite 108, Tucson, AZ 85712-2152 | 2007-02-13 |
1699743294 | Mary Elizabeth Landau-levine | Dermatology | 14301 N 87th St Ste 107, Scottsdale, AZ 85260 | 2006-03-09 |
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 |
1508313602 | Atos Dermatopathology Pllc | Dermatology | 21300 N John Wayne Pkwy, #116, Maricopa, AZ 85139-8979 | 2016-09-07 |
1427428416 | Southwest Skin & Cancer Institute Ltd | Dermatology | 242 Whipple St, Prescott, AZ 86301-1787 | 2015-10-02 |
1730430182 | Wellbeing Institute | Dermatology | 3615 N Prince Village Pl, Suite 121, Tucson, AZ 85719-2054 | 2012-09-25 |
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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.