DERMATOLOGY NORTHWEST LLC (NPI# 1790956415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790956415 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY NORTHWEST LLC |
| Practice Address |
1845 W Orange Grove Rd Suite 101 Tucson AZ 85704-1134 |
| Practice Telephone | 5205442211 |
| Practice Fax Number | 5205442277 |
| Mailing Telephone | 5205442211 |
| Mailing Fax Number | 5205442277 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | MR. JAMES E BENNETT (OWNER) |
| Authorized Official Telephone | 5205442211 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 17914 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922365956 | Dermatology Northwest LLC | Specialist | 5900 Inland Shores Way N, Ste 202, Keizer, OR 97303-3883 | 2012-04-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | DERMATOLOGY NORTHWEST LLC | 5900 Inland Shores Way, Ste 202, Keizer, OR 97303 |
| Street Address |
1845 W ORANGE GROVE RD SUITE 101 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85704-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447229802 | Alton Venson Hallum | Obstetrics & Gynecology | 1845 W Orange Grove Rd, Bldg 2, Tucson, AZ 85704 | 2006-03-16 |
| 1972991222 | Arizona Oncology Associates PC | Internal Medicine | 1845 W Orange Grove Rd, Bldg. 2, Tucson, AZ 85704-1144 | 2015-01-08 |
| 1992127682 | Acaciarx | Pharmacy | 1845 W Orange Grove Rd, Suite 115, Tucson, AZ 85704-1134 | 2014-01-14 |
| 1184972895 | Christina Marie Vasquez | Psychologist | 1845 W Orange Grove Rd, Ste 111, Tucson, AZ 85704-1134 | 2012-08-28 |
| 1083971741 | Smi Imaging LLC | Radiology | 1845 W Orange Grove Rd, Bldg 5, Suite 103, Tucson, AZ 85704-1134 | 2012-04-19 |
| 1265728216 | Dr.steven J Abrams,pc | Podiatrist | 1845 W Orange Grove Rd, Suite 125, Tucson, AZ 85704-1134 | 2011-06-28 |
| 1609169465 | Vitality Age Management | Internal Medicine | 1845 W Orange Grove Rd, Suite 115, Tucson, AZ 85704-1134 | 2011-05-26 |
| 1194917492 | Catalina Gastroenterology | Internal Medicine | 1845 W Orange Grove Rd, #125, Tucson, AZ 85704-1134 | 2007-08-10 |
| 1952486896 | Frank Javier Valenzuela Jr. | Chiropractor | 1845 W Orange Grove Rd, Suite # 119, Tucson, AZ 85704-1134 | 2006-10-26 |
| 1285734962 | Steven Joel Abrams | Podiatrist | 1845 W Orange Grove Rd, 137, Tucson, AZ 85704-1134 | 2006-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
| 1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
| 1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
| 1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
| 1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
| 1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
| Find all providers in zip 85704 | ||||
| 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 |
|---|---|---|---|---|
| 1982268504 | Melody Maarouf | Dermatology | 7165 N Pima Canyon Dr, Tucson, AZ 85718-1407 | 2019-04-29 |
| 1407141823 | The Healing Staff, Inc | Dermatology | 1525 N Grady Ave, Tucson, AZ 85715-5014 | 2011-06-14 |
| 1447588983 | Kathleen Sharon O'brien | Dermatology | 7005 N. Oracle Rd, Tucson, AZ 85704 | 2009-11-20 |
| 1760627889 | John W White Jr. | Dermatology | 6595 E Celsian Pl, Tucson, AZ 85750-0703 | 2008-12-03 |
| 1124236054 | Tracy A Jeck | Dermatology | 5150 E. Glenn St., Tucson, AZ 85712-1337 | 2007-05-21 |
| 1346399284 | Robert E Selby | Dermatology | 4280 N Campbell Ave, Suite 212, Tucson, AZ 85718-6585 | 2007-01-09 |
| 1275604043 | Rene E. Miranda | Dermatology | 422 E Mabel St, Tucson, AZ 85705-7457 | 2006-11-13 |
| 1134229818 | David N Flieger | Dermatology | 6542 E Carondelet Dr, Tucson, AZ 85710-2117 | 2006-09-23 |
| 1922118298 | Jason Paul Dupont | Dermatology | 6296 E Grant Rd Ste 180, Tucson, AZ 85712-5832 | 2006-08-30 |
| 1518989383 | John Michael Haraldsen | Dermatology | 5577 N Oracle Rd, S 103, Tucson, AZ 85704-3821 | 2006-07-24 |
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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.