MR. RICHARD G LEVINE (NPI# 1700997988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700997988 |
| Entity Type | Individual |
| Full Name | MR. RICHARD G LEVINE |
| Credential | MD FAAD |
| Practice Address |
4540 E Baseline Rd Ste 109 Mesa AZ 85206-4616 |
| Mailing Address |
10210 N 92nd St Ste 300 Scottsdale AZ 85258-4525 |
| Practice Telephone | 4809823337 |
| Practice Fax Number | 4804974580 |
| Mailing Telephone | 4809355999 |
| Mailing Fax Number | 4809355998 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35847 | AZ | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
35847 | AZ | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
35847 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | CO LICENSE | 35847 | 01 |
| CO | 01358472 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10503 W Thunderbird Blvd Ste 114, Sun City, AZ 853513047 | 4809823337 | 4804974580 |
| 1821 N Trekell Rd Ste 2, Casa Grande, AZ 851221705 | 5203742462 | 5203742467 |
| 2935 Baseline Rd, #201, Boulder, CO 80303 | 3034443152 | 3034443151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881240042 | Richard Levine | Chiropractor | 31390 Northwestern Hwy Ste C, Farmington Hills, MI 48334-2561 | 2019-08-14 |
| 1134361579 | Richard Levine | Marriage & Family Therapist | 1617 N. El Centro Avenue, Suite #16, Los Angeles, CA 90028 | 2009-03-31 |
| 1730215203 | Richard Ira Levine | Chiropractor | 10500 Ne 8th St Ste 212, Bellevue, WA 98004-4351 | 2007-02-26 |
| 1235283755 | Richard Alan Levine | Psychiatry & Neurology | 1749 Martin L King Jr Way, Berkeley, CA 94709-2139 | 2007-01-22 |
| 1003825779 | Richard Steven Levine | Dentist | 33-44 Junction Blvd, 1w, Jackson Hts, NY 11372-2021 | 2006-08-05 |
| 1821031592 | Richard B Levine | Radiology | 4241 Veterans Blvd, Suite 100, Metairie, LA 70006 | 2006-06-13 |
| 1093753816 | Richard M Levine | Family Medicine | 101 Barclay Pavilion W, Cherry Hill, NJ 08034-2139 | 2006-06-03 |
| 1346228251 | Richard A Levine | Psychologist | 90 8th Ave, 1f, Brooklyn, NY 11215-1553 | 2006-01-03 |
| 1922009729 | Richard M. Levine | Dentist | 1311 W Busch Blvd, Tampa, FL 33612-7709 | 2005-08-03 |
| 1467455865 | Richard Levine | Dentist | 183 Middle Rd, Hazlet, NJ 07730-1837 | 2005-05-31 |
| Street Address |
4540 E BASELINE RD STE 109 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851340467 | Jayshri Gamoth | Dermatology | 4540 E Baseline Rd Ste 109, Mesa, AZ 85206-4616 | 2006-05-09 |
| 1508035411 | Az Dermatology LLC | Dermatology | 4540 E Baseline Rd Ste 109, Mesa, AZ 85206-4616 | 2008-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| 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 |
|---|---|---|---|---|
| 1548779713 | Ryan Kirk Bingham | Dermatology | 2855 E Brown Rd Ste 22, Mesa, AZ 85213-4216 | 2017-09-20 |
| 1659829109 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 6644 E Baseline Rd, Mesa, AZ 85206-4438 | 2016-09-13 |
| 1659630713 | Robert Anderton | Dermatology | 4318 N Desert Oasis Cir, Mesa, AZ 85207-7246 | 2012-05-10 |
| 1962729160 | Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207 | 2010-04-27 |
| 1083841225 | Daniel Peterson Skinner Jr. | Dermatology | 2050 W Southern Ave Ste 102, Mesa, AZ 85202-4702 | 2009-06-15 |
| 1679685614 | Robert David Griego | Dermatology | 2250 W Southern, 102, Mesa, AZ 85202 | 2006-08-31 |
| 1770699134 | Zeena Irene Ubogy | Dermatology | 2150 S Dobson Road, Ste #1, Mesa, AZ 85202 | 2006-08-21 |
| 1053368134 | Alvin R. Fulkerson | Dermatology | 1242 E Mckellips Rd, Ste 103, Mesa, AZ 85203-2763 | 2006-05-27 |
| 1568416790 | Rcdc of Mesa Plc | Dermatology | 2158 N Gilbert Rd, Suite 121a, Mesa, AZ 85203-2109 | 2006-05-20 |
| 1851340467 | Jayshri Gamoth | Dermatology | 4540 E Baseline Rd Ste 109, Mesa, AZ 85206-4616 | 2006-05-09 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on MR. RICHARD G LEVINE.
| 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.