SKIN CONCIERGE, LLC. (NPI# 1497270664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497270664 |
| Entity Type | Organization |
| Organization Name | SKIN CONCIERGE, LLC. |
| Practice Address |
1310 W. St. Mary's Road 2nd Floor, Suite A Tucson AZ 85745 |
| Mailing Address |
2805 N Lloyd Bush Dr Tucson AZ 85745-9502 |
| Practice Telephone | 5203335973 |
| Practice Fax Number | 5202546851 |
| Mailing Telephone | 5203335973 |
| Mailing Fax Number | 5202546851 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | RACHEL M SCHACHT (PHYSICIAN) |
| Authorized Official Telephone | 5202032505 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 162831 | 05 |
| Street Address |
1310 W. ST. MARY'S ROAD 2ND FLOOR, SUITE A |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| 1285996272 | Aimee Marie Steiniger | Pediatrics | 839 W. Congress Street, Tucson, AZ 85745 | 2012-06-14 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 207NI0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Clinical & Laboratory Dermatological Immunology |
| A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. |
| 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 |
|---|---|---|---|---|
| 1003204975 | Vernon T Mackey, PC | Dermatology | 9191 W Thunderbird Rd Ste D101, Peoria, AZ 85381-4270 | 2014-12-31 |
| 1083052872 | Kevin Lee Svancara | Dermatology | 2620 N 140th Ave # 103, Goodyear, AZ 85395-2437 | 2013-06-13 |
| 1477081149 | Brandon J Mackey | Dermatology | 9191 W Thunderbird Rd Ste D101, Peoria, AZ 85381 | 2017-05-25 |
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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.