MR. KEVIN LEE SVANCARA (NPI# 1083052872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083052872 |
| Entity Type | Individual |
| Full Name | MR. KEVIN LEE SVANCARA |
| Credential | D.O. |
| Practice Address |
2620 N 140th Ave # 103 Goodyear AZ 85395-2437 |
| Practice Telephone | 6232194777 |
| Practice Fax Number | 6232194778 |
| Mailing Telephone | 6232194777 |
| Mailing Fax Number | 6232194778 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
PG163096 | OR | Allopathic & Osteopathic Physicians |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
6549 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2620 N 140TH AVE # 103 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891230959 | Julianne Brower | Physician Assistant | 2620 N 140th Ave # 103, Goodyear, AZ 85395-2437 | 2016-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871051383 | Skin Deep Aesthetics, LLC | Dermatology | 1714 W Guadalupe Rd Ste 201, Gilbert, AZ 85233-2943 | 2019-03-05 |
| 1982819397 | Tamra Whiteley-myers Md PC | Dermatology | 5190 E Farness Dr Ste 110, Tucson, AZ 85712-2142 | 2007-05-11 |
| 1871653840 | Cynthia Jean Modny | Dermatology | 2402 E San Miguel Ave, Phoenix, AZ 85016-2815 | 2006-12-11 |
| 1518928878 | Mark A Meyers | Dermatology | 715 S Beeline Hwy, Ste A, Payson, AZ 85541-5344 | 2006-03-28 |
| 1235128851 | Andrew S. Tedesco | Dermatology | 6648 E Carondelet Dr, Tucson, AZ 85710-2119 | 2005-10-17 |
| 1861498297 | Keith Andrew Mackenzie | Dermatology | 3190 Clearwater Dr, Prescott, AZ 86305-7131 | 2005-06-21 |
| 1083066450 | Arizona Skin and Laser Therapy Institue, Ltd | Dermatology | 16620 N 40th St, Suite C-3, Phoenix, AZ 85032-3348 | 2016-07-08 |
| 1548634348 | La Peau Dermatology LLC | Dermatology | 5424 E Southern Ave, Suite 103, Mesa, AZ 85206-3621 | 2015-11-17 |
| 1972861326 | Ryan Mark Proctor | Dermatology | 3015 Hway 95, Suite 110, Bullhead City, AZ 86442-4334 | 2012-04-23 |
| 1427340389 | Brenda Latowsky M.d. P.l.c. | Dermatology | 12251 N 32nd St, Phoenix, AZ 85032-7189 | 2011-05-11 |
| Find all providers with the same taxonomy | ||||
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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.