DR. MITCHELL RYAN MANWAY (NPI# 1083024921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083024921 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL RYAN MANWAY |
| Credential | D.O. |
| Practice 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 | 2014-04-30 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
7027 | AZ | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 007027 | AZ | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | OS13524 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
20401 N 73RD ST SUITE 230 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083615686 | Caryl S. Gorman | Specialist | 20401 N 73rd St, Suite 255, Scottsdale, AZ 85255-4107 | 2005-08-03 |
| 1063868057 | Jeanette Jumawan | Nurse Practitioner | 20401 N 73rd St, Suite 160, Scottsdale, AZ 85255-4107 | 2016-05-09 |
| 1629439005 | Greater Phoenix Orthopedics | Orthopaedic Surgery | 20401 N 73rd St, Suite 155, Scottsdale, AZ 85255-4107 | 2016-03-14 |
| 1265803605 | Arizona Institute for Sports Knees and Shoulders, LLC | Orthopaedic Surgery | 20401 N 73rd St, 160, Scottsdale, AZ 85255-4107 | 2015-10-12 |
| 1952740573 | Elizabeth Stori Johnson | Specialist/Technologist | 20401 N 73rd St, Ste 255, Scottsdale, AZ 85255-4107 | 2013-06-17 |
| 1609139138 | Michelle Lynn Goedken | Dermatology | 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4107 | 2012-06-19 |
| 1922382027 | Ross Uthe | Physician Assistant | 20401 N 73rd St, Suite # 255, Scottsdale, AZ 85255-4107 | 2011-10-06 |
| 1609150010 | Scottsdale Healthcare Corp | Family Medicine | 20401 N 73rd St, Suite 105, Scottsdale, AZ 85255-4107 | 2011-10-04 |
| 1851683742 | Jena Auerbach | Pathology | 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4107 | 2011-05-10 |
| 1215244496 | Christina Marie Snyder | Physician Assistant | 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4153 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| 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 |
| 1003159872 | Jenna Wald | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2013-03-31 |
| 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 |
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| City | SCOTTSDALE |
| Zip Code | 85255 |
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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.