SUN CITY DERMATOLOGY, PA (NPI# 1104988377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104988377 |
| Entity Type | Organization |
| Organization Name | SUN CITY DERMATOLOGY, PA |
| Practice Address |
4545 N Mesa St El Paso TX 79912-6121 |
| Practice Telephone | 9153517546 |
| Practice Fax Number | 9153513545 |
| Mailing Telephone | 9153517546 |
| Mailing Fax Number | 9153513545 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-09-29 |
| Authorized Official Name | ADRIAN MATTHEW GUEVARA (PRESIDENT) |
| Authorized Official Telephone | 9153517546 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | M5195 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4545 N MESA ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-6121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306482 | Laura Robledo | General Practice | 4545 N Mesa St, El Paso, TX 79912 | 2005-06-21 |
| 1831723865 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 4545 N Mesa St, El Paso, TX 79912-6121 | 2020-02-28 |
| 1437616216 | Epmed, Pa | General Practice | 4545 N Mesa St, El Paso, TX 79912-6121 | 2019-02-27 |
| 1619474061 | Anette Araiza | Nurse Practitioner | 4545 N Mesa St, El Paso, TX 79912-6121 | 2018-04-11 |
| 1003270752 | Victoria Alexandra Meraz | Physician Assistant | 4545 N Mesa St, El Paso, TX 79912-6121 | 2016-04-08 |
| 1972810976 | Amanda Dibenedetto | Nurse Practitioner | 4545 N Mesa St, El Paso, TX 79912-6121 | 2010-09-12 |
| 1104898188 | Adrian Matthew Guevara | Dermatology | 4545 N Mesa St, El Paso, TX 79912-6121 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| 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 |
|---|---|---|---|---|
| 1164743928 | Brett A Ozanich | Dermatology | 310 S Mesa Hills Dr, El Paso, TX 79912-5880 | 2010-06-16 |
| 1639239692 | Clinton Allen King | Dermatology | 10657 Vista Del Sol, Suite A, El Paso, TX 79935-4504 | 2006-12-11 |
| 1336244581 | Mark Franklin Peake | Dermatology | 8820 Gateway Blvd N, El Paso, TX 79904-1947 | 2006-09-13 |
| 1386645752 | Karen Leora Herman | Dermatology | 2100 N Mesa, Peter S Herman Md Pa, El Paso, TX 79902-3312 | 2005-08-09 |
| 1376540211 | Hector Lastra Franco | Dermatology | 10500 Vista Del Sol Dr, Suite C, El Paso, TX 79925-7949 | 2005-07-07 |
| 1336664044 | David Vainsencher | Dermatology | 3607 Rivera Ave, El Paso, TX 79905-2415 | 2017-08-03 |
| 1689056228 | Jonathan P Jeter | Dermatology | 5005 N Piedras St, El Paso, TX 79920 | 2015-06-19 |
| 1427257070 | Samuel Fehring Almquist | Dermatology | 5005 N Piedras St, El Paso, TX 79920-5001 | 2007-07-13 |
| 1821142779 | Jana Louise Simpson | Dermatology | 1700 Murchison Dr, Suite 215, El Paso, TX 79902-2931 | 2007-01-22 |
| 1255407441 | Mountain View Dermatology,p.a. | Dermatology | 8820 Gateway Blvd N, El Paso, TX 79904-1947 | 2006-11-28 |
| Find all providers in EL PASO | ||||
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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.