DANA S BALDERRAMA


Address: 1945 Mesquite Ave, D, Lake Havasu City, AZ 86403
Phone: 9284539487

DANA S BALDERRAMA (NPI# 1326087206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326087206
Entity Type Individual
Full Name DANA S BALDERRAMA
Credential MD
Practice Address 1945 Mesquite Ave
D
Lake Havasu City
AZ 86403
Practice Telephone 9284539487
Practice Fax Number 9284539562
Mailing Telephone 9284539487
Mailing Fax Number 9284539562
Enumeration Date 2006-06-06
Last Update Date 2008-02-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery 32551 AZ Allopathic & Osteopathic Physicians
N 2082S0105X Plastic Surgery
Specialization: Surgery of the Hand
32551 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 857625 05

Office Location

Street Address 1945 MESQUITE AVE
D
City LAKE HAVASU CITY
State AZ
Zip Code 86403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336274042 Jane Rita Schopen Physician Assistant 1945 Mesquite Ave, Suite B, Lake Havasu City, AZ 86403-5889 2007-02-22
1497817878 Donald R Nelson Obstetrics & Gynecology 1945 Mesquite Ave, Ste. A, Lake Havasu City, AZ 86403-5889 2006-12-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104479039 Liska's Apothecary Shop, Inc. Assisted Living Facility 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 2019-07-19
1275033227 Ayad Costy Pharmacist 75 North Lake Havasu City, Lake Havasu City, AZ 86403 2018-02-16
1942727250 Ideal Health Care, L.L.C. Prosthetic/Orthotic Supplier 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 2017-08-28
1063965036 Cerner Health Connections, Inc Clinic/Center 89 Civic Center Blvd, Lake Havasu City, AZ 86403 2016-07-26
1447643358 Lundin Dental PC Durable Medical Equipment & Medical Supplies 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 2015-03-17
1912301425 Arizona Havasu Bdm Pak LLC Dentist 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 2014-10-13
1386047850 Emily E Vona Nurse Practitioner 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 2014-09-29
1750700589 Thomas Wennergren Pharmacist 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 2014-04-09
1285997460 Jamie L Lemire Pharmacist 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 2012-06-21
1053694448 Goodwill of Northern Arizona Exclusive Provider Organization 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 2011-09-22
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336396761 Burt Faibisoff, Md, Pllc Plastic Surgery 2035 Mesquite Ave, Suite A, Lake Havasu City, AZ 86403-5894 2008-08-27
1730128695 Burt I Faibisoff Plastic Surgery 2035 Mesquite Ave, Suite A, Lake Havasu City, AZ 86403 2006-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740818673 Ashley L. Howarth, Md Plastic Surgery Pllc Plastic Surgery 34597 N 60th St Ste 103, Scottsdale, AZ 85266-5241 2020-03-27
1467098483 Skyfalls LLC Plastic Surgery 3723 E Sells Drive, Phoenix, AZ 85018 2019-11-25
1528602885 Ronald D Brooksher Md Pllc Plastic Surgery 1951 W 25th St Ste D, Yuma, AZ 85364-6924 2019-10-30
1841851995 Sonoran Plastic Surgery Pllc Plastic Surgery 18325 N Allied Way Ste 120, Phoenix, AZ 85054-3107 2019-06-27
1083126809 Kelly Anne Braman Plastic Surgery 3805 E Bell Rd Ste 5800, Phoenix, AZ 85032-2190 2017-11-02
1528597960 Empire Plastic Surgery Plastic Surgery 10910 N. Tatum Blvd, Ste B100, Phoenix, AZ 85028-1111 2017-06-08
1265863393 John N. Simons Plastic Surgery 4800 North 68th Street, Scottsdale, AZ 85250 2013-11-27
1326333022 Theodore G Dodenhoff Plastic Surgery 9764 E Bajada Rd, Scottsdale, AZ 85262-8412 2011-06-10
1346559135 Philip Fleishman Plastic Surgery 1656 E Kleindale Rd, Tucson, AZ 85719-1917 2010-09-28
1699005322 Rozbeh Torabi Plastic Surgery 10645 N. Tatum Blvd, Suite C200 #305, Phoenix, AZ 85028 2009-12-31
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Competitor

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City LAKE HAVASU CITY
Zip Code 86403

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Dataset Information

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.

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