THERESE ANN HOLGUIN (NPI# 1881629376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881629376 |
| Entity Type | Individual |
| Full Name | THERESE ANN HOLGUIN |
| Credential | M.D. |
| Practice Address |
1490 N Turquoise Dr Flagstaff AZ 86001-1383 |
| Practice Telephone | 9287745074 |
| Practice Fax Number | 9287790884 |
| Mailing Telephone | 9287745074 |
| Mailing Fax Number | 9287790884 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2016-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 88-191 | NM | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 19361 | AZ | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
19361 | AZ | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
19361 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RXR MEDICARE | 070002910 | 01 |
| AZ | 295114 | 05 |
| Street Address |
1490 N TURQUOISE DR |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-1383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477748069 | Northern Arizona Dermatology Center PC | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2007-09-07 |
| 1932244266 | No Ariz Dermatology Center | Clinical Medical Laboratory | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2007-02-21 |
| 1962558569 | Northern Arizona Dermatology Center PC | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2007-01-26 |
| 1245303718 | Jordan J Miller | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001-1383 | 2006-11-15 |
| 1790799450 | Edward Charles Kauffman | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2006-07-28 |
| 1972517530 | Carin Cain | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2006-07-28 |
| 1043234610 | Kelly Michele Czarnecki | Physician Assistant | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2006-07-27 |
| 1225054240 | Carl Frederick Bigler | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001-1383 | 2006-07-14 |
| 1760408785 | Scott Morrison Dale | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| 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 |
|---|---|---|---|---|
| 1528011368 | Angela J Wyatt | Dermatology | 150 N Verde St Ste 101, Flagstaff, AZ 86001-5257 | 2006-05-19 |
| 1477748069 | Northern Arizona Dermatology Center PC | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2007-09-07 |
| 1962558569 | Northern Arizona Dermatology Center PC | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2007-01-26 |
| 1245303718 | Jordan J Miller | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001-1383 | 2006-11-15 |
| 1790799450 | Edward Charles Kauffman | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2006-07-28 |
| 1972517530 | Carin Cain | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2006-07-28 |
| 1225054240 | Carl Frederick Bigler | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001-1383 | 2006-07-14 |
| 1760408785 | Scott Morrison Dale | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559471 | Innovative Dermatology Alliance Az, PC | Dermatology | 390 Bralliar Rd, Wickenburg, AZ 85390 | 2020-05-11 |
| 1902427735 | Derma Healthcare Solutions Pllc | Dermatology | 4716 E Thunderbird Rd, Phoenix, AZ 85032-5541 | 2020-05-04 |
| 1598310559 | Avant Dermatology & Aesthetics Pllc | Dermatology | 8580 N Oracle Rd Ste 140, Oro Valley, AZ 85704-6512 | 2019-08-07 |
| 1982268504 | Melody Maarouf | Dermatology | 7165 N Pima Canyon Dr, Tucson, AZ 85718-1407 | 2019-04-29 |
| 1114485646 | Saguaro Dermatology Associates LLC | Dermatology | 3400 E Mcdowell Rd Fl 2, Phoenix, AZ 85008-3884 | 2019-03-04 |
| 1114405503 | Joshua Harrison | Dermatology | 13771 N Fountain Hills Blvd # 114-103, Fountain Hills, AZ 85268-3762 | 2018-07-30 |
| 1386133684 | Az Mobile Derm Inc | Dermatology | 6857 E Beverly Ln, Scottsdale, AZ 85254-1566 | 2018-05-02 |
| 1225533409 | Rcdc of Mesa Plc | Dermatology | 270 W Chandler Heights Rd Ste 4, Chandler, AZ 85248-5084 | 2018-03-28 |
| 1548779713 | Ryan Kirk Bingham | Dermatology | 2855 E Brown Rd Ste 22, Mesa, AZ 85213-4216 | 2017-09-20 |
| 1306369996 | Clear Sky Dermatology LLC | Dermatology | 14044 W Camelback Rd Ste 220, Litchfield Park, AZ 85340-9426 | 2017-07-25 |
| Find all providers with the same taxonomy | ||||
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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.