DR. THEODORE CLYDE CARNER (NPI# 1548596422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548596422 |
| Entity Type | Individual |
| Full Name | DR. THEODORE CLYDE CARNER |
| Credential | MD |
| Practice Address |
12251 N 32nd St Phoenix AZ 85032 |
| Mailing Address |
12251 N. 32nd St Phoenix AZ 85032 |
| Practice Telephone | 6029710950 |
| Mailing Telephone | 6029710950 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 20564 | AZ | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
20564 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
12251 N 32ND ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720075088 | Scott E. Tropper | Specialist | 12251 N 32nd St, Ste 12, Phoenix, AZ 85032-7144 | 2005-10-03 |
| 1427340389 | Brenda Latowsky M.d. P.l.c. | Dermatology | 12251 N 32nd St, Phoenix, AZ 85032-7189 | 2011-05-11 |
| 1962684530 | Mark A Blair Md PC | Specialist | 12251 N 32nd St, Phoenix, AZ 85032-7189 | 2007-12-05 |
| 1275564783 | Thanmaya R Blair | Radiology | 12251 N 32nd St, Suite 12, Phoenix, AZ 85032-7189 | 2006-07-05 |
| 1649226705 | Mark A Blair | Specialist | 12251 N 32nd St, Phoenix, AZ 85032-7189 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| 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 |
|---|---|---|---|---|
| 1902427735 | Derma Healthcare Solutions Pllc | Dermatology | 4716 E Thunderbird Rd, Phoenix, AZ 85032-5541 | 2020-05-04 |
| 1114485646 | Saguaro Dermatology Associates LLC | Dermatology | 3400 E Mcdowell Rd Fl 2, Phoenix, AZ 85008-3884 | 2019-03-04 |
| 1396122727 | Thomas Lee | Dermatology | 2525 W Carefree Hwy Ste 144, Phoenix, AZ 85085-6096 | 2015-05-06 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1215374186 | Ramin Fathi | Dermatology | 4550 E Bell Rd Bldg 5, Phoenix, AZ 85032-9390 | 2013-05-31 |
| 1699087809 | Morgan James Mackey | Dermatology | 9327 N 3rd St Ste 206, Phoenix, AZ 85020-2473 | 2010-07-06 |
| 1609900299 | Lindsay Skye Ackerman | Dermatology | 1331 N 7th St Ste 250, Phoenix, AZ 85006-2722 | 2007-03-15 |
| 1538238373 | Susan Il Iorio | Dermatology | 4400 N. 32nd Street, Ste250, Phoenix, AZ 85018 | 2006-11-07 |
| 1598869687 | Mark Richard Rosenberg | Dermatology | 20950n Tatum Blvd 350, Phoenix, AZ 85050-4256 | 2006-09-11 |
| 1538272596 | Peter J. Casper | Dermatology | 2928 N 18th Pl, Peter J. Casper, M.d., Phoenix, AZ 85016-7705 | 2006-08-16 |
| Find all providers in PHOENIX | ||||
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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.