ROYA GHORSRIZ (NPI# 1780846667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780846667 |
| Entity Type | Individual |
| Full Name | ROYA GHORSRIZ |
| Credential | D.O. |
| Practice Address |
635 1st St N Winter Haven FL 33881-4191 |
| Practice Telephone | 8632940670 |
| Practice Fax Number | 8632983200 |
| Mailing Telephone | 8632940670 |
| Mailing Fax Number | 8632983200 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2013-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | OS10208 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
635 1ST ST N |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-4191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819853 | Mary R De Sena | Family Medicine | 635 1st St N, Winter Haven, FL 33881-4129 | 2005-08-29 |
| 1467916551 | Dorothea Annette Thompson | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2019-01-23 |
| 1790261964 | Tiffney M Martin | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2018-07-11 |
| 1669966719 | Ashley Nicole Penaloza | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881 | 2018-06-20 |
| 1285128082 | Julie Kregl Earp | Family Medicine | 635 1st St N, Winter Haven, FL 33881-4191 | 2018-06-15 |
| 1558854075 | Molly Leigh Fox | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2018-06-09 |
| 1891204608 | Roxanna Ford | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2017-09-25 |
| 1922543966 | Cecilia Mcdonald | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2016-12-29 |
| 1629434808 | Crystal Elizabeth Ingle | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2016-01-04 |
| 1821453044 | Michele Murphy | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2015-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| 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 |
|---|---|---|---|---|
| 1316953912 | Nelson Alfred Warner | Dermatology | 429 2nd St Nw, Winter Haven, FL 33881-4168 | 2006-08-01 |
| 1730146564 | Klaus F. Sellheyer | Dermatology | 1450 6th St Se, Winter Haven, FL 33880-4505 | 2006-04-26 |
| 1346447109 | Nelson A Warner Md Pa | Dermatology | 429 2nd St Nw, Winter Haven, FL 33881-4168 | 2007-06-27 |
| 1528278363 | Winter Haven Dermatology Pa | Dermatology | 560 Avenue K Se, Winter Haven, FL 33880-4203 | 2007-05-23 |
| 1316019334 | Stepan Oliva | Dermatology | 560 Avenue K Se, Winter Haven, FL 33880-4203 | 2006-11-14 |
| 1174574941 | Rebecca C. Tung | Dermatology | 1450 6th St Se, Winter Haven, FL 33880-4505 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002154 | Precision Skin LLC | Dermatology | 3501 S University Dr Ste 5, Davie, FL 33328-2001 | 2020-10-28 |
| 1487252417 | Janice Reaume | Dermatology | 3335 Imperial Manor Way, Mulberry, FL 33860-5519 | 2020-10-12 |
| 1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
| 1518585447 | Alexander F Wong | Dermatology | 1300 Goodlette-frank Rd N, Naples, FL 34102-5243 | 2020-07-07 |
| 1508495003 | Elite Dermatology | Dermatology | 401 Coral Way Ste 207, Coral Gables, FL 33134-4924 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1396380044 | Suzanne Marie Smith | Dermatology | 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 | 2019-11-15 |
| 1376188383 | Enchantress Dermatology, Inc. | Dermatology | 241 Nw 119 Ave, Miami, FL 33182-1329 | 2019-11-13 |
| 1699319988 | Revivify Dermatology, LLC | Dermatology | 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 | 2019-10-30 |
| 1841833928 | Carly Marie Maher | Dermatology | 90 Cypress Way E Ste 50, Naples, FL 34110-9275 | 2019-10-22 |
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| City | WINTER HAVEN |
| Zip Code | 33881 |
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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.