KATHARINE M BERMINGHAM CORDOVA (NPI# 1396962767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396962767 |
| Entity Type | Individual |
| Full Name | KATHARINE M BERMINGHAM CORDOVA |
| Credential | MD |
| Practice Address |
14506 W Granite Valley Dr #206 Sun City West AZ 85375-6010 |
| Mailing Address |
13943 N 91st Ave C-101 Peoria AZ 85381-3629 |
| Practice Telephone | 6235842127 |
| Practice Fax Number | 6235841257 |
| Mailing Telephone | 6237609449 |
| Mailing Fax Number | 6239749351 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
46040 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHIELD | 1396962767 | 01 |
| AZ | UNITED HEALTHCARE | 3044230 | 01 |
| AZ | HEALTH NET | 5Z0069 | 01 |
| AZ | TRICARE | 1396962767 | 01 |
| AZ | 722830 | 05 | |
| AZ | AHCCCS | 722830 | 01 |
| AZ | RAILROAD MEDICARE | P01106960 | 01 |
| Street Address |
14506 W GRANITE VALLEY DR #206 |
| City | SUN CITY WEST |
| State | AZ |
| Zip Code | 85375-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306845383 | Susan M Dugo | Physical Therapist | 14506 W Granite Valley Dr, #205, Sun City West, AZ 85375-6010 | 2005-07-20 |
| 1568713980 | Sandra Henderson Densford | Counselor | 14506 W Granite Valley Dr, Suite # 221, Sun City West, AZ 85375-6010 | 2012-09-25 |
| 1831468297 | Sabvir Medical Associates, LLC | Internal Medicine | 14506 W Granite Valley Dr, #217, Sun City West, AZ 85375-6010 | 2011-12-14 |
| 1184949364 | Sandra Jean Lloyd | Counselor | 14506 W Granite Valley Dr, Suite 108, Sun City West, AZ 85375-6010 | 2010-03-31 |
| 1477789170 | Saguaro Internal Medicine, Pllc | Clinic/Center | 14506 W Granite Valley Dr, Ste 225, Sun City West, AZ 85375-6010 | 2009-06-09 |
| 1285871848 | Best Care, Pllc | Internal Medicine | 14506 W Granite Valley Dr, Suite 225, Sun City West, AZ 85375-6010 | 2009-01-19 |
| 1609028034 | Marilee Kyte | Counselor | 14506 W Granite Valley Dr, Suite #108, Sun City West, AZ 85375-6010 | 2008-10-16 |
| 1891963195 | Barbara Fong Md Pllc | Anesthesiology | 14506 W Granite Valley Dr, Suite 117, Sun City West, AZ 85375-6010 | 2008-02-20 |
| 1598945800 | General Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 14506 W Granite Valley Dr, #100, Sun City West, AZ 85375-6010 | 2007-11-05 |
| 1780872713 | Akdhc, LLC | Internal Medicine | 14506 W Granite Valley Dr, Ste 123, Sun City West, AZ 85375-6011 | 2007-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380662 | Melissa Darlene Ramirez | Nurse Practitioner | 14418 W Meeker Blvd Ste 100, Sun City West, AZ 85375 | 2018-06-15 |
| 1740798974 | Warner Steward | Physical Therapist | 14418 W Meeker Blvd, Ste 301, Bldg B, Sun City West, AZ 85375 | 2018-01-22 |
| 1154838589 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 14419 W Meeker, Sun City West, AZ 85375 | 2018-01-08 |
| 1467978320 | Nicole E Oppenheimer | Physician Assistant | 14416 W. Meeker Blvd, Ste 301, Sun City West, AZ 85375 | 2017-08-22 |
| 1134642838 | Jeffrey David Atkins | Physician Assistant | 14502 W Meeker Boulevard, Sun City West, AZ 85375 | 2017-07-25 |
| 1417486465 | Iora Senior Health, Inc | Internal Medicine | 13940 W. Meeker Blvd., Suite 101, Sun City West, AZ 85375 | 2017-06-05 |
| 1710224316 | Arizona Audiology & Hearing, Inc. | Audiologist-Hearing Aid Fitter | 13540 W. Camino Del Sol #20, Sun City West, AZ 85375 | 2013-01-16 |
| 1215280151 | Laura A L'heureux | Internal Medicine | 13949 W. Meeker Blvd, Suite D, Sun City West, AZ 85375 | 2012-10-16 |
| 1073872859 | Keith Arbuckle | Podiatrist | 13949 W Meeker Blvd Ste B, Sun City West, AZ 85375 | 2012-05-14 |
| 1285936336 | A-z Denture Center | Dentist | 19082 N. Rh Johnson Blvd, Sun City West, AZ 85375 | 2010-11-23 |
| Find all providers in zip 85375 | ||||
| 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 |
|---|---|---|---|---|
| 1114567997 | J. Robert West, M.d., Inc | Dermatology | 12251 N 32nd St Ste 12, Phoenix, AZ 85032-7144 | 2020-01-09 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SUN CITY WEST |
| Zip Code | 85375 |
Please comment or provide details below to improve the information on KATHARINE M BERMINGHAM CORDOVA.
| 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.