DESERT VALLEY PLASTIC SURGERY PLLC (NPI# 1629682190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629682190 |
| Entity Type | Organization |
| Organization Name | DESERT VALLEY PLASTIC SURGERY PLLC |
| Practice Address |
18325 N Allied Way Ste 120 Phoenix AZ 85054-3107 |
| Mailing Address |
9393 N 90th St Ste 102 Pmb 291 Scottsdale AZ 85258-5073 |
| Practice Telephone | 4807705015 |
| Practice Fax Number | 4806912450 |
| Mailing Telephone | 4807705015 |
| Mailing Fax Number | 4806912450 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | DR. GENARO FRANCISCO VALLADOLID (MEMBER MANAGER) |
| Authorized Official Telephone | 4807705015 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
18325 N ALLIED WAY STE 120 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85054-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841851995 | Sonoran Plastic Surgery Pllc | Plastic Surgery | 18325 N Allied Way Ste 120, Phoenix, AZ 85054-3107 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255301 | Stephanie Gamber | Registered Nurse | 5405 East Pinnacle Vista Drive, Phoenix, AZ 85054 | 2016-10-10 |
| 1508231960 | Deborah Elam | Acupuncturist | 5777 East Mayo Boulevard Mayo Clinic, Phoenix, AZ 85054 | 2015-12-09 |
| 1811176860 | Desert Ridge Pediatric Dentistry | Clinic/Center | 5315 E. High Street, Suite 115, Phoenix, AZ 85054 | 2007-10-26 |
| 1902968639 | Ryan David Schulze | Chiropractor | 7000 E Mayo Blvd Ste 1058, Phoenix, AZ 85054 | 2006-12-16 |
| 1477517423 | Gary Betz II Md PC | Internal Medicine | 7010 E. Chauncey Lane, Suite 145, Phoenix, AZ 85054 | 2006-04-14 |
| 1689658395 | Alice G Mccormick | Internal Medicine | 5450 East Deer Valley Drive Unit 3206, Phoenix, AZ 85054 | 2005-12-06 |
| 1770576241 | Michelle Renee Kuhn | Physician Assistant | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2005-08-30 |
| 1609869981 | Jeffrey Alan Smith | Optometrist | 18325 N Allied Way Ste 100, Phoenix, AZ 85054 | 2005-08-23 |
| 1043219389 | Hasan Khamash | Internal Medicine | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2005-07-19 |
| 1497753750 | Rajeev Agarwal | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2005-07-11 |
| Find all providers in zip 85054 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 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 |
| 1699005322 | Rozbeh Torabi | Plastic Surgery | 10645 N. Tatum Blvd, Suite C200 #305, Phoenix, AZ 85028 | 2009-12-31 |
| 1366685711 | Joseph Zakhary | Plastic Surgery | 10910 N Tatum Blvd Ste B100, Phoenix, AZ 85028-3080 | 2009-04-15 |
| 1215123336 | William M. Jacobsen Md PC | Plastic Surgery | 2400 E Az Biltmore Cir, Ste 2450, Phoenix, AZ 85016-2107 | 2007-09-21 |
| 1780889782 | William Edward Mora | Plastic Surgery | 14618 S 43rd St, Phoenix, AZ 85044-6197 | 2007-06-19 |
| 1760696371 | Peter S. Wu | Plastic Surgery | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2007-05-10 |
| 1902929508 | Lewis Albert Andres | Plastic Surgery | 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2412 | 2007-04-09 |
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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.