JENNA WALD (NPI# 1003159872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003159872 |
| Entity Type | Individual |
| Full Name | JENNA WALD |
| Credential | MD |
| Practice Address |
9500 E Ironwood Square Dr Ste 110 Scottsdale AZ 85258-4582 |
| Practice Telephone | 4809488400 |
| Practice Fax Number | 4809488401 |
| Mailing Telephone | 4809488400 |
| Mailing Fax Number | 4809488401 |
| Enumeration Date | 2013-03-31 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
58462 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
9500 E IRONWOOD SQUARE DR STE 110 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85258-4582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780650036 | Holly N Nichols | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2006-02-27 |
| 1174182596 | Surgepay LLC | Pain Medicine | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2019-06-10 |
| 1568877397 | Jennifer Peterson | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2014-07-01 |
| 1922392398 | Spectrum Dermatology, Pllc | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2011-06-02 |
| 1013170695 | Brendan O'neill | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2008-07-03 |
| 1528248747 | Maya K Thosani | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2007-11-05 |
| 1528182557 | Ross Lewis Stutman | Plastic Surgery | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2007-03-16 |
| 1750416608 | Brooke Grant Jeffy | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2007-02-22 |
| 1023020229 | Margaret A. Stark | Physician Assistant | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2006-08-13 |
| 1558371179 | Kirsten Flynn | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
| 1790396943 | Arielle Dawne Bohorquez | Registered Nurse | 10466 N 74th Street Suite 150, Scottsdale, AZ 85258 | 2020-08-12 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
| 1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| 1801378377 | Michelle Marie Kometh | Social Worker | 9449 N 90th St Suite 205, Scottsdale, AZ 85258 | 2018-08-31 |
| 1275028862 | Sarah Maria Goff | Dentist | 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 | 2018-06-26 |
| 1508353582 | Brittany Rose Carey | Nurse Practitioner | Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 | 2018-04-16 |
| 1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
| Find all providers in zip 85258 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093228314 | Scottsdale Dermatology and Cosmetic Surgery Pllc | Dermatology | 10210 N 92nd St Ste 300, Scottsdale, AZ 85258-4525 | 2017-11-08 |
| 1548652878 | Dustin James Mullens | Dermatology | 7331 E Osborn Dr Ste 250, Scottsdale, AZ 85251-6415 | 2015-02-24 |
| 1386061257 | Lauren Marie Ogrich | Dermatology | 20201 N Scottsdale Healthcare Dr Ste 260, Scottsdale, AZ 85255 | 2014-03-27 |
| 1386091163 | Andrew Newman | Dermatology | 7331 E Osborn Dr Ste 250, Scottsdale, AZ 85251-6415 | 2016-05-20 |
| 1083024921 | Mitchell Ryan Manway | Dermatology | 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4107 | 2014-04-30 |
| 1922392398 | Spectrum Dermatology, Pllc | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2011-06-02 |
| 1407973167 | Shari Ochoa | Dermatology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2007-03-26 |
| 1497703797 | Christine C Lin | Dermatology | 20401 N 73rd Street, Suite 230, Scottsdale, AZ 85255-4351 | 2006-05-05 |
| 1194792416 | Center for Dermatology, Pllc | Dermatology | 14275 N 87th St, Suite 110, Scottsdale, AZ 85260-3696 | 2006-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114567997 | J. Robert West, M.d., Inc | Dermatology | 12251 N 32nd St Ste 12, Phoenix, AZ 85032-7144 | 2020-01-09 |
| 1922360601 | Lara E. Rosenbaum | Dermatology | 6316 W Union Hills Dr Ste 200, Glendale, AZ 85308-1001 | 2012-06-08 |
| 1992061162 | Arizona Dermatology Specialists, Pllc | Dermatology | 14800 W. Mountain View Blvd., Ste. 160, Surprise, AZ 85374-2700 | 2012-04-02 |
| 1396868337 | Donald P Kadunce | Dermatology | 735 Little Dr, Lake Havasu City, AZ 86406-8308 | 2007-04-06 |
| 1417906280 | Betty A Hinderks Davis | Dermatology | 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 | 2006-05-09 |
| 1821046772 | Vernon Thomas Mackey | Dermatology | 9191 W Thunderbird Rd, D-101, Peoria, AZ 85381-4270 | 2006-05-04 |
| 1629071907 | Julio Hernandez | Dermatology | 6525 W Sack Dr, Ste 307, Glendale, AZ 85308-7107 | 2005-05-31 |
| 1588297402 | Arizona Mohs Surgery, Pllc | Dermatology | 7530 N Oracle Rd Ste 102, Tucson, AZ 85704-4450 | 2020-02-19 |
| 1932630563 | Regency Skin Institute Pllc | Dermatology | 10240 W Indian School Rd, Suite 115, Phoenix, AZ 85037-5904 | 2017-03-24 |
| 1609291848 | Richard Lee Averitte Jr Pllc | Dermatology | 19646 N 27th Ave, Ste 305, Phoenix, AZ 85027-4017 | 2014-02-25 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSDALE |
| Zip Code | 85258 |
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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.