SONORAN SKIN CANCER TREATMENT CENTERS, LLC (NPI# 1902305899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902305899 |
| Entity Type | Organization |
| Organization Name | SONORAN SKIN CANCER TREATMENT CENTERS, LLC |
| Practice Address |
1425 Greenfield Road Mesa AZ 85206 |
| Mailing Address |
21882 N Ingram Ct Maricopa AZ 85138-9499 |
| Practice Telephone | 4809813000 |
| Practice Fax Number | 4809246339 |
| Mailing Telephone | 4802672641 |
| Mailing Fax Number | 4804183562 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Authorized Official Name | MR. CARLOS ALBERTO CABALLERO (MANAGER) |
| Authorized Official Telephone | 4802672641 |
| Authorized Official Credential | MSC, DABR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
14068 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1425 GREENFIELD ROAD |
| City | MESA |
| State | AZ |
| Zip Code | 85206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710322946 | Sun Electronic Brachytherapy Inc | Radiology | 6424 E Broadway Rd, Suite 104 & 105, Mesa, AZ 85206-1750 | 2013-05-01 |
| 1427022144 | Mark K Ono | Radiology | 6111 E Arbor Ave, Mesa, AZ 85206-6059 | 2006-02-17 |
| 1265411961 | Aaron A Ambrad | Radiology | 6111 E Arbor Ave, Mesa, AZ 85206-6059 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383701 | Alliance Oncology of Arizona, LLC | Radiology | 21300 N John Wayne Pkwy Ste 116, Maricopa, AZ 85139-8978 | 2020-10-12 |
| 1811307333 | Joshua R Niska | Radiology | Bmda @ Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 | 2014-05-06 |
| 1053731356 | Andrew Orton | Radiology | 121 West Esperanza Blvd, 181, Green Valley, AZ 85614-6687 | 2014-04-24 |
| 1346668514 | Ashley Ann Albert | Radiology | 14155 N 83rd Ave Ste 127, Peoria, AZ 85381-5652 | 2014-04-03 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1366726788 | Vershalee Shukla | Radiology | 7469 E Monte Cristo Ave, Scottsdale, AZ 85260-1618 | 2011-10-04 |
| 1194988204 | David Thomas Vonk | Radiology | 6567 E Carondelet Dr Ste 100, Tucson, AZ 85710-6152 | 2008-07-08 |
| 1679767768 | Simul D Parikh | Radiology | Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 | 2007-08-31 |
| 1457561086 | Kurt Andrew Wharton | Radiology | 7410 N Zanjero Blvd, Palo Verde Cancer Center-west Valley, Glendale, AZ 85308 | 2007-05-23 |
| 1013126440 | Abhilash P Nambiar | Radiology | 14506 W Meeker Blvd, Sun City West, AZ 85375-5282 | 2007-05-22 |
| 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.