DR. LEONARD MARK DZUBOW (NPI# 1790778199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790778199 |
| Entity Type | Individual |
| Full Name | DR. LEONARD MARK DZUBOW |
| Credential | MD |
| Practice Address |
101 Chesley Dr Media PA 19063-1761 |
| Practice Telephone | 6105667846 |
| Practice Fax Number | 6108916735 |
| Mailing Telephone | 6105667846 |
| Mailing Fax Number | 6108916735 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2009-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD020065E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
101 CHESLEY DR |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-1761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134127848 | John Joseph Laskas | Dermatology | 101 Chesley Dr, Suite 100, Media, PA 19063-1761 | 2005-07-07 |
| 1508153545 | Trisha Sujaya Dasgupta | Dermatology | 101 Chesley Dr, Dermatology, Ltd., Media, PA 19063-1761 | 2011-06-28 |
| 1477791929 | Center for Dermatopathology, P.C. | Clinical Medical Laboratory | 101 Chesley Dr, Suite 201, Media, PA 19063-1761 | 2009-01-21 |
| 1659538148 | Joseph William Laskas | Dermatology | 101 Chesley Dr, Media, PA 19063-1761 | 2008-05-21 |
| 1619163706 | Aesthetic Facial Plastic Surgery Center, Inc. | Plastic Surgery | 101 Chesley Dr, Georgtown Building, Media, PA 19063-1761 | 2007-09-21 |
| 1093922536 | Karen Pearce Riggs | Dermatology | 101 Chesley Dr, Suite Number 740, Media, PA 19063-1761 | 2007-05-16 |
| 1588746937 | Megan Leigh Bovero | Physician Assistant | 101 Chesley Dr, Media, PA 19063-1761 | 2006-10-19 |
| 1568417467 | Leonard Dzubow Md PC | Dermatology | 101 Chesley Dr, Media, PA 19063-1761 | 2006-05-23 |
| 1477508257 | Dermatology Ltd | Dermatology | 101 Chesley Dr, Suite 100, Media, PA 19063-1761 | 2006-05-23 |
| 1700848082 | Nancy Slater Woolf | Psychiatry & Neurology | 101 Chesley Dr, Suite 201, Media, PA 19063-1761 | 2006-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
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| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568417467 | Leonard Dzubow Md PC | Dermatology | 101 Chesley Dr, Media, PA 19063-1761 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538600853 | Dermone Dermatology Associates of The Keystone State, P.c | Dermatology | 200 Barr Harbor Drive, Four Tower Bridge, Suite 200, West Conshohocken, PA 19428 | 2017-03-20 |
| 1962802249 | Carlisle Dermatology Group | Dermatology | 19 Sprint Drive, Suite 1, Carlisle, PA 17015-7002 | 2014-08-24 |
| 1922418516 | Veronica Rutt | Dermatology | 1665 Valley Center Pkwy Ste 120, Bethlehem, PA 18017-2353 | 2014-05-05 |
| 1003109059 | Amanda Joy Tschetter | Dermatology | 575 Coal Valley Rd Ste 360, Clairton, PA 15025-3739 | 2011-05-24 |
| 1871893529 | Accurate Dermatology Pa, LLC | Dermatology | 2805 Fringe Lane, Easton, PA 18040 | 2010-10-28 |
| 1134393028 | Paul Xavier Benedetto | Dermatology | 2221 Garrett Rd, Drexel Hill, PA 19026-1101 | 2008-04-22 |
| 1558549733 | Keystone Dermatology & Center for Skin Surgery, LLC | Dermatology | 2525 9th Ave Ste 2, Altoona, PA 16602-2014 | 2008-02-10 |
| 1710174511 | The Skin and Cancer Center | Dermatology | 18 Millridge Dr, Aston, PA 19014-1063 | 2007-09-26 |
| 1871785683 | Kevin Crouse, Md PC | Dermatology | 250 Pierce St Ste 217, Kingston, PA 18704-5149 | 2007-08-15 |
| 1326240557 | Marc Kevin Rubenzik | Dermatology | 233 S 10th St, Suite 450, Philadelphia, PA 19107-5541 | 2007-06-01 |
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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.