CENTER FOR ADVANCED DERMATOLOGY LLC (NPI# 1497765762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497765762 |
| Entity Type | Organization |
| Organization Name | CENTER FOR ADVANCED DERMATOLOGY LLC |
| Practice Address |
3455 S Yarrow St Lakewood CO 80227 |
| Practice Telephone | 3039895231 |
| Practice Fax Number | 3039899785 |
| Mailing Telephone | 3039895231 |
| Mailing Fax Number | 3039899785 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | MICHAELA W MCDONNELL (MANAGING PARTNER) |
| Authorized Official Telephone | 3039895231 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
3455 S YARROW ST |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497703185 | Kira Rand Giovanielli | Dermatology | 3455 S Yarrow St, Lakewood, CO 80227-5031 | 2006-05-04 |
| 1760749683 | Lisa Ann Blackwood | Dermatology | 3455 S Yarrow St, Lakewood, CO 80227 | 2012-04-17 |
| 1245348036 | Michaela W Mcdonnell | Dermatology | 3455 S Yarrow St, Lakewood, CO 80227-5031 | 2006-08-29 |
| 1134237928 | David L Hurt | Dermatology | 3455 S Yarrow St, Lakewood, CO 80227 | 2006-08-29 |
| 1780791731 | Mary Ann Straley | Nurse Practitioner | 3455 S Yarrow St, Lakewood, CO 80227-5031 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326541947 | Caroline Nicole Desjardins | Counselor | 2460 W 26th Ave Bldg C Ste 217, Denver, CO 80227 | 2018-03-09 |
| 1689024986 | Ethan Daniel Light | Audiologist | 10881 W. Asbury Ave., Suite 110, Lakewood, CO 80227 | 2016-06-16 |
| 1124476098 | Rachel Patterson | Nurse Practitioner | 3190 S Wadsworth Blvd Ste 250, Lakewood, CO 80227 | 2016-06-01 |
| 1326425901 | Lisa Myers | Social Worker | 2050 S Kipling St, Lakewood, CO 80227 | 2015-05-02 |
| 1497174619 | Pamela Ann Gunn | Registered Nurse | 10631 W. Vassar Place, Lakewood, CO 80227 | 2014-04-15 |
| 1336588912 | Ashlie Bell | Social Worker | 3333 S Wadsworth Blvd Ste 160, Lakewood, CO 80227 | 2013-06-18 |
| 1326336678 | Anna C Ferman | Registered Nurse | 10035 W Dartmouth Ave C207, Lakewood, CO 80227 | 2011-07-20 |
| 1124353701 | Katherine Ream Palomino | Nurse Anesthetist, Certified Registered | 3333 S. Wadsworth Blvd, #d-100, Lakewood, CO 80227 | 2009-10-15 |
| 1457502205 | National Institute for Change, P.C. | Community/Behavioral Health | 3225 S Wadsworth Blvd, Unit T, Lakewood, CO 80227 | 2008-10-09 |
| 1952565996 | Children's Dental Center | Dentist | 2323 South Wadsworth Blvd, Suite #104, Lakewood, CO 80227 | 2008-07-17 |
| Find all providers in zip 80227 | ||||
| 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 |
|---|---|---|---|---|
| 1396864500 | Alpine Dermatology Associates Pllc | Dermatology | 1785 Kipling St, Lakewood, CO 80215-2843 | 2007-03-28 |
| 1295885630 | Fredric Robert Rosenberg | Dermatology | 3650 E. South Street, #306, Lakewood, CA 90712 | 2007-01-10 |
| 1801971098 | Darnell L Martin-wimmer | Dermatology | 1785 Kipling, Lakewood, CO 80215 | 2006-10-26 |
| 1467566208 | Emanuel G Kuflik | Dermatology | 150 E Kennedy Blvd, Lakewood, NJ 08701-1345 | 2006-08-18 |
| 1023044724 | Advanced Dermatology & Skin Surgery, PC | Dermatology | 886 River Ave, Lakewood, NJ 08701-5220 | 2006-06-24 |
| 1497703185 | Kira Rand Giovanielli | Dermatology | 3455 S Yarrow St, Lakewood, CO 80227-5031 | 2006-05-04 |
| 1992762017 | Mordechai M Tarlow | Dermatology | 456 Chestnut St, Suite 201, Lakewood, NJ 08701-6124 | 2006-05-01 |
| 1275933780 | Lakewood Dermatology | Dermatology | 14701 Detroit Ave, Suite 208, Lakewood, OH 44107-4115 | 2014-09-03 |
| 1760749683 | Lisa Ann Blackwood | Dermatology | 3455 S Yarrow St, Lakewood, CO 80227 | 2012-04-17 |
| 1093848509 | Prohealth Partners, A Medical Group | Dermatology | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1405 | 2007-03-13 |
| Find all providers in LAKEWOOD | ||||
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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.