SPECTRUM DERMATOLOGY, PLLC (NPI# 1922392398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922392398 |
| Entity Type | Organization |
| Organization Name | SPECTRUM DERMATOLOGY, PLLC |
| Practice Address |
9500 E Ironwood Square Dr Ste 110 Scottsdale AZ 85258-4582 |
| Practice Telephone | (480) 948-8400 |
| Practice Fax Number | 4809488401 |
| Mailing Telephone | 4809488400 |
| Mailing Fax Number | 4809488401 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. NANCY HAGEUNG KIM (OWNER) |
| Authorized Official Telephone | 4809488400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
41487 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20950 N Tatum Blvd Ste 250, Phoenix, AZ 850504253 | 4809488400 | 4809488401 |
| 312 N Alma School Rd Ste 5, Chandler, AZ 852244354 | 4809488400 | 4809488401 |
| 4350 E Camelback Rd Ste A200, Phoenix, AZ 850188354 | 4809488400 | 4809488401 |
| Street Address |
9500 E IRONWOOD SQUARE DR STE 110 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85258-4582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780650036 | Holly N Nichols | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2006-02-27 |
| 1174182596 | Surgepay LLC | Pain Medicine | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2019-06-10 |
| 1568877397 | Jennifer Peterson | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2014-07-01 |
| 1003159872 | Jenna Wald | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2013-03-31 |
| 1013170695 | Brendan O'neill | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2008-07-03 |
| 1528248747 | Maya K Thosani | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2007-11-05 |
| 1528182557 | Ross Lewis Stutman | Plastic Surgery | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2007-03-16 |
| 1750416608 | Brooke Grant Jeffy | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2007-02-22 |
| 1023020229 | Margaret A. Stark | Physician Assistant | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2006-08-13 |
| 1558371179 | Kirsten Flynn | Dermatology | 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
| 1790396943 | Arielle Dawne Bohorquez | Registered Nurse | 10466 N 74th Street Suite 150, Scottsdale, AZ 85258 | 2020-08-12 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
| 1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| 1801378377 | Michelle Marie Kometh | Social Worker | 9449 N 90th St Suite 205, Scottsdale, AZ 85258 | 2018-08-31 |
| 1275028862 | Sarah Maria Goff | Dentist | 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 | 2018-06-26 |
| 1508353582 | Brittany Rose Carey | Nurse Practitioner | Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 | 2018-04-16 |
| 1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
| Find all providers in zip 85258 | ||||
| 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 |
|---|---|---|---|---|
| 1386133684 | Az Mobile Derm Inc | Dermatology | 6857 E Beverly Ln, Scottsdale, AZ 85254-1566 | 2018-05-02 |
| 1629438239 | Collaborative Skin Care Pllc | Dermatology | 20343 N Hayden Rd, Scottsdale, AZ 85255-3876 | 2016-02-25 |
| 1922484088 | Advanced Dermatology of Arizona, PC | Dermatology | 8817 E Bell Rd Ste 101, Scottsdale, AZ 85260-1589 | 2015-07-30 |
| 1235544479 | Jennifer Lynn Sawaya | Dermatology | 10900 N Scottsdale Rd Ste 202, Scottsdale, AZ 85254-5228 | 2014-06-26 |
| 1376975748 | Antiaging and Wellness Institute, Pllc | Dermatology | 4141 N Goldwater Blvd Ste 102, Scottsdale, AZ 85251-3848 | 2013-08-07 |
| 1447505755 | Christina L Kranc | Dermatology | 10200 N 92nd St Ste 205, Scottsdale, AZ 85258-4536 | 2012-07-24 |
| 1093081879 | Associates In Dermatology Care, Pllc | Dermatology | 11000 N Scottsdale Rd Ste 120, Scottsdale, AZ 85254-6169 | 2012-03-27 |
| 1184888364 | New Horizons Dermatology, PC | Dermatology | 3271 N Civic Center Plz Ste 5, Scottsdale, AZ 85251-6990 | 2008-07-16 |
| 1790983146 | Shelly A Friedman | Dermatology | 8800 East Raintree Dr, Suite 350, Scottsdale, AZ 85260-6709 | 2007-07-06 |
| 1699982611 | Shelly A Friedman | Dermatology | 8800 E Raintree Dr, Suite 350, Scottsdale, AZ 85260 | 2007-05-17 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85258 |
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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.