DR. RENATA PRADO DE FUCCIO OLIVEIRA (NPI# 1851411409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851411409 |
| Entity Type | Individual |
| Full Name | DR. RENATA PRADO DE FUCCIO OLIVEIRA |
| Credential | M.D. |
| Practice Address |
9348 Grand Cordera Pkwy Suite 160 Colorado Springs CO 80924-7023 |
| Practice Telephone | 7193551585 |
| Practice Fax Number | 7196232983 |
| Mailing Telephone | 7193551585 |
| Mailing Fax Number | 7196232983 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | DR.0050098 | CO | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
DR.0050098 | CO | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
250766 | MA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
DR.0050098 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
9348 GRAND CORDERA PKWY SUITE 160 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80924-7023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346215894 | Rachel L Frederickson | Physician Assistant | 9348 Grand Cordera Pkwy, 160, Colorado Springs, CO 80924-7023 | 2006-02-20 |
| 1578995189 | Apple Grove Dental PC | Dentist | 9348 Grand Cordera Pkwy, Suite #100, Colorado Springs, CO 80924-7001 | 2013-08-06 |
| 1467709972 | Michael Leslie | Dermatology | 9348 Grand Cordera Pkwy, Suite 160, Colorado Springs, CO 80924-7001 | 2012-08-14 |
| 1487968459 | Toan Chung | Dentist | 9348 Grand Cordera Pkwy, Suite 100, Colorado Springs, CO 80924-7001 | 2010-08-03 |
| 1518105253 | Vanguard Medical Specialists LLC | Dermatology | 9348 Grand Cordera Pkwy, Ste 160, Colorado Springs, CO 80924-7001 | 2009-02-03 |
| 1730364167 | Vinh Quoc Chung | Dermatology | 9348 Grand Cordera Pkwy, Ste 160, Colorado Springs, CO 80924-7001 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714237 | Retina Consultants of Southern Colorado P C | Ophthalmology | 10035 Pearl Pass View, Suite 110, Colorado Springs, CO 80924 | 2020-06-11 |
| 1750808200 | Melody Living Associates, LLC | Assisted Living Facility | 7600 Sand Rock Point, Colorado Springs, CO 80924 | 2017-08-25 |
| 1891156436 | Kristin Speer | Pharmacist | 5215 Mount Cutler Ct, Colorado Springs, CO 80924 | 2016-03-10 |
| 1336553874 | Roman Igorevich Krivochenitser | Ophthalmology | 9320 Grand Cordera Pkwy Ste 255, Colorado Springs, CO 80924 | 2014-06-12 |
| 1659790202 | Center At Centennial, LLC | Skilled Nursing Facility | 9208 Grand Cordera Parkway, Colorado Springs, CO 80924 | 2014-04-10 |
| 1487903076 | Flora N Dewald | Physical Therapist | 9559 Pancake Rocks Trail, Colorado Springs, CO 80924 | 2012-08-29 |
| 1760613863 | Nicole R Hartmann | Dentist | 9625 Prominent Point Suite 100, Colorado Springs, CO 80924 | 2009-08-06 |
| 1700020104 | Prominent Point Dental Group and Orthodontics, LLP | Dentist | 9625 Prominent Point, Suite 100, Colorado Springs, CO 80924 | 2009-04-29 |
| 1801087044 | James C Banich | Plastic Surgery | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924 | 2007-08-05 |
| 1275747933 | Carefree Family Medicine | Family Medicine | 9320 Grand Cordera Parkway, Suite 235, Carefree Family Medicine, Colorado Springs, CO 80924 | 2007-05-10 |
| Find all providers in zip 80924 | ||||
| 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 |
|---|---|---|---|---|
| 1588284103 | Vanguard Medical Specialists LLC | Dermatology | 2620 Tenderfoot Hill St Ste 110, Colorado Springs, CO 80906-8356 | 2020-04-23 |
| 1902914658 | Patrick Joseph Sniezek | Dermatology | 170 Parkside Drive, Colorado Springs, CO 80910-3129 | 2006-08-25 |
| 1013538354 | Vanguard Medical Specialists LLC | Dermatology | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924-7023 | 2020-04-28 |
| 1821618190 | Vanguard Medical Specialists LLC | Dermatology | 13492 Bass Pro Dr Ste 100, Colorado Springs, CO 80921-3852 | 2020-04-16 |
| 1518105253 | Vanguard Medical Specialists LLC | Dermatology | 9348 Grand Cordera Pkwy, Ste 160, Colorado Springs, CO 80924-7001 | 2009-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874449 | Clearview Dermatology | Dermatology | 14789 W 87th Pkwy, Arvada, CO 80005-1338 | 2020-09-08 |
| 1558981175 | Vanguard Medical Specialists LLC | Dermatology | 41 State Highway 67 Unit B, Woodland Park, CO 80863-5009 | 2020-04-23 |
| 1427569243 | Clarity Dermatology Pllc | Dermatology | 4350 Limelight Avenue, Suite 205, Castle Rock, CO 80109-8034 | 2017-10-19 |
| 1770822249 | Becker Dermatology | Dermatology | 1122 Orange Pl, Boulder, CO 80304-0733 | 2013-02-04 |
| 1255637294 | Colorado Skin and Vein, P.C. | Dermatology | 195 Inverness Dr West, Ste 200, Englewood, CO 80112 | 2011-02-09 |
| 1124263546 | Kevan G Lewis Md LLC | Dermatology | 3879 E 120th Ave, Ste 238, Thornton, CO 80233-1658 | 2008-12-15 |
| 1508049206 | Todd Charles Becker | Dermatology | 2600 30th St Ste 100, Boulder, CO 80301-1237 | 2007-12-17 |
| 1265542377 | Karen B Nern | Dermatology | 1140 Edwards Village Blvd Suite B200, Edwards, CO 81632 | 2006-08-30 |
| 1942212857 | Samantha Fay Ghiselli | Dermatology | 501 S Cherry St Ste 310, Glendale, CO 80246-1322 | 2006-08-12 |
| 1730106642 | Bella Derma, LLC | Dermatology | 1140 Edwards Village Blvd, Suite B200, Edwards, CO 81632 | 2006-07-16 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80924 |
Please comment or provide details below to improve the information on DR. RENATA PRADO DE FUCCIO OLIVEIRA.
| 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.