DR. GLENN L ZELLMAN (NPI# 1285611582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285611582 |
Entity Type | Individual |
Full Name | DR. GLENN L ZELLMAN |
Credential | MD |
Practice Address |
2224 W Northern Ave Ste D300 Phoenix AZ 85021 |
Mailing Address |
2224 W Northern Ave Ste D300 Phoenix AZ 85021-5099 |
Practice Telephone | 6022771449 |
Practice Fax Number | 6022779984 |
Mailing Telephone | 6022771449 |
Mailing Fax Number | 6022779984 |
Enumeration Date | 2005-12-28 |
Last Update Date | 2018-10-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ME0072954 | FL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
7301 N University Dr, Suite102, Tamarac, FL 333212919 | 9547262000 | 9547263109 |
Street Address |
2224 W NORTHERN AVE STE D300 |
City | PHOENIX |
State | AZ |
Zip Code | 85021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467455477 | Tirsa Carolina Quartullo | Nurse Practitioner | 2224 W Northern Ave Ste D300, Phoenix, AZ 85021-5099 | 2005-05-23 |
1801439740 | Elizabeth Nafornita | Nurse Practitioner | 2224 W Northern Ave Ste D300, Phoenix, AZ 85021-5099 | 2019-10-23 |
1255517041 | Edward Michael Galiczynski Jr. | Dermatology | 2224 W Northern Ave Ste D300, Phoenix, AZ 85021-5099 | 2008-01-11 |
1780863092 | Michael Lowell Crandall | Dermatology | 2224 W Northern Ave Ste D300, Phoenix, AZ 85021 | 2007-11-02 |
1295927788 | John A. Ebner | Dermatology | 2224 W Northern Ave Ste D300, Phoenix, AZ 85021-5099 | 2007-08-17 |
1639281942 | Winlove B Suasin | Radiology | 2224 W Northern Ave Ste D300, Phoenix, AZ 85021-5099 | 2006-08-31 |
1841230976 | William T. Ko | Dermatology | 2224 W Northern Ave Ste D300, Phoenix, AZ 85021 | 2006-06-07 |
1215977467 | Marlene Wright | Nurse Practitioner | 2224 W Northern Ave Ste D300, Phoenix, AZ 85021 | 2006-06-07 |
1588610422 | Neil P. Superfon | Dermatology | 2224 W Northern Ave Ste D300, Phoenix, AZ 85021-5099 | 2006-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
Find all providers in zip 85021 |
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 |
---|---|---|---|---|
1871653840 | Cynthia Jean Modny | Dermatology | 2402 E San Miguel Ave, Phoenix, AZ 85016-2815 | 2006-12-11 |
1083066450 | Arizona Skin and Laser Therapy Institue, Ltd | Dermatology | 16620 N 40th St, Suite C-3, Phoenix, AZ 85032-3348 | 2016-07-08 |
1427340389 | Brenda Latowsky M.d. P.l.c. | Dermatology | 12251 N 32nd St, Phoenix, AZ 85032-7189 | 2011-05-11 |
1629047345 | Neel Patel | Dermatology | 11130 N Tatum Blvd, Ste. 100, Phoenix, AZ 85028-1662 | 2006-03-15 |
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 |
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 |
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 |
1003112327 | Northern Arizona Dermatology Center, PC | Dermatology | 501 N Navajo, Page, AZ 86040 | 2011-02-03 |
1457581019 | Anne James Walter | Dermatology | 8415 N Pima Rd, 212, Scottsdale, AZ 85258-4480 | 2009-07-17 |
1396971958 | Keith A Mackenzie Do PC | Dermatology | 3190 Clearwater Dr, Prescott, AZ 86305-7131 | 2009-06-09 |
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.