CHARLES CLEMMENSEN


Address: 1100 S Carson St, Carson City, NV 89701-5232
Phone: 7758837811

CHARLES CLEMMENSEN (NPI# 1871551747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871551747
Entity Type Individual
Full Name CHARLES CLEMMENSEN
Credential M.D.
Practice Address 1100 S Carson St
Carson City
NV 89701-5232
Practice Telephone 7758837811
Mailing Telephone 7758837811
Enumeration Date 2006-05-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207N00000X Dermatology 3757 NV Allopathic & Osteopathic Physicians
X 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
3757 NV Allopathic & Osteopathic Physicians
X 207ND0900X Dermatology
Specialization: Dermatopathology
3757 NV Allopathic & Osteopathic Physicians
X 207NS0135X Dermatology
Specialization: Procedural Dermatology
3757 NV Allopathic & Osteopathic Physicians
X 207R00000X Internal Medicine 3757 NV Allopathic & Osteopathic Physicians

Office Location

Street Address 1100 S CARSON ST
City CARSON CITY
State NV
Zip Code 89701-5232

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780852368 Clemmensen, Adams, & Tack Psc Dermatology 1100 S Carson St, Carson City, NV 89701-5232 2008-02-15
1124032990 David Alan Tack Dermatology 1100 S Carson St, Carson City, NV 89701-5232 2006-07-28
1841214632 Ruth Elizabeth Adams Dermatology 1100 S Carson St, Carson Dematology, Carson City, NV 89701-5232 2006-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295398741 Tammy Lea Ritter Registered Nurse 727 Fairview Dr, Suite A, Carson City, NV 89701 2019-04-19
1417445644 Veatrice Marie Buckley Chore Provider 343 Fairview Dr., #101, Carson City, NV 89701 2018-04-24
1619417821 Melhuish & Associates PC Durable Medical Equipment & Medical Supplies 2350 S Carson St, Ste 3, Carson City, NV 89701 2017-03-07
1942625579 Kristi Lin Berg Social Worker 777 E William St Ste 102, Carson City, NV 89701 2014-02-18
1992141493 Rumi Ota Marriage & Family Therapist 755 N Roop St Ste 101, Carson City, NV 89701 2013-05-11
1700127743 Pauline Jenni King Nurse Practitioner 1206 S Carson St, Carson City, NV 89701 2013-03-14
1740524503 Bodie Ward Coates Counselor 755 N. Roop St. #101, Carson City, NV 89701 2012-11-19
1699085407 Jacque Michael Negrete Social Worker 777 E William St Ste 106, Carson City, NV 89701 2010-10-14
1295045102 Mountain West Anesthesia Nurse Anesthetist, Certified Registered 1801 North Carson Street, Carson City, NV 89701 2010-10-13
1831342617 Heal Therapy of Nevada Social Worker 405 N Roop St, Carson City, NV 89701 2008-10-24
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124032990 David Alan Tack Dermatology 1100 S Carson St, Carson City, NV 89701-5232 2006-07-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336773373 Tck Islay, Inc Dermatology 1624 10th St Ste 1, Minden, NV 89423-4477 2020-02-28
1538708573 Skin Docs Dermatology 410 S Rancho Dr, Las Vegas, NV 89106-4802 2019-12-21
1609358886 Jdr Dermatology Research, LLC. Dermatology 9080 W Post Rd Ste 100, Las Vegas, NV 89148 2018-09-04
1003310368 Lenore S Kakita Md LLC Dermatology 9360 W Flamingo Rd Ste 110-325, Las Vegas, NV 89147-6410 2018-03-21
1619492378 Fife Dermatology, PC 1 Dermatology 10080 West Alta Drive, Suite 120, Las Vegas, NV 89145-8651 2017-08-03
1194268987 J H Daulat Do PC Dermatology 1875 S Nellis Blvd, Las Vegas, NV 89104-6215 2016-11-28
1396192761 Craig Parson Dermatology 6850 N Durango Dr Ste 100, Las Vegas, NV 89149-4596 2016-05-16
1912349408 Cyril M. Joseph Dermatology 1470 E Calvada Blvd Ste 600, Pahrump, NV 89048-3906 2013-07-24
1942565205 Centennial Dermatology and Skin Cancer Inc Dermatology 5500 Painted Mirage Road, Suite 100, Las Vegas, NV 89149 2012-07-11
1649543463 Aaron William Mccook Dermatology 340 Falcon Ridge Pkwy Ste 202, Mesquite, NV 89027-8851 2012-02-10
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City CARSON CITY
Zip Code 89701

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Dataset Information

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.

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