DR. SAMANTHA FAY GHISELLI (NPI# 1942212857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942212857 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA FAY GHISELLI |
| Credential | M.D. |
| Practice Address |
501 S Cherry St Ste 310 Glendale CO 80246-1322 |
| Practice Telephone | 3033337873 |
| Practice Fax Number | 3033217873 |
| Mailing Telephone | 3033337873 |
| Mailing Fax Number | 3033217873 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
51663 | CO | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A85337 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
A85337 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A85337 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3613 Vista Way, Oceanside, CA 92056 | 7607585340 | 7607585502 |
| Street Address |
501 S CHERRY ST STE 310 |
| City | GLENDALE |
| State | CO |
| Zip Code | 80246-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407363971 | Pure Dermatology Pllc | Dermatology | 501 S Cherry St Ste 310, Glendale, CO 80246-1325 | 2018-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872377 | Anisha M Boggiano | Occupational Therapy Assistant | 4500 S Cherry Creek Dr, Suite 710, Denver, CO 80246 | 2019-07-08 |
| 1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
| 1952865834 | Toni Qualantone | Counselor | 720 S Colorado Blvd., North Tower Penthouse, Suite 1353n, Denver, CO 80246 | 2019-01-25 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1689160194 | Alexia Bounkhong | Optometrist | 850 S Dahlia Circle, Apt F105, Denver, CO 80246 | 2018-07-09 |
| 1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
| 1801398094 | Megan Reynolds | Counselor | 1017 S. Birch St., B106, Glendale, CO 80246 | 2018-03-02 |
| 1295242014 | Seth Cameron Bender | Counselor | 720 S. Colorado Blvd., North Penthouse Tower, Suite 1353n, Denver, CO 80246 | 2018-01-02 |
| 1679093991 | Jeffery Washington | Counselor | 1066 S. Dahlia St. E32, Denver, CO 80246 | 2017-06-27 |
| 1013457795 | Jeff Johnston Dds PC | Dentist | 4500 East Cherry Creek Dr South, 100, Denver, CO 80246 | 2017-03-01 |
| Find all providers in zip 80246 | ||||
| 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 |
|---|---|---|---|---|
| 1922360601 | Lara E. Rosenbaum | Dermatology | 6316 W Union Hills Dr Ste 200, Glendale, AZ 85308-1001 | 2012-06-08 |
| 1629071907 | Julio Hernandez | Dermatology | 6525 W Sack Dr, Ste 307, Glendale, AZ 85308-7107 | 2005-05-31 |
| 1245506971 | Forefront Dermatology, S.c. | Dermatology | 7040 N Port Washington Rd, Suite 404, Glendale, WI 53217 | 2012-03-27 |
| 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 |
| 1588284103 | Vanguard Medical Specialists LLC | Dermatology | 2620 Tenderfoot Hill St Ste 110, Colorado Springs, CO 80906-8356 | 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 |
| 1902914658 | Patrick Joseph Sniezek | Dermatology | 170 Parkside Drive, Colorado Springs, CO 80910-3129 | 2006-08-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. SAMANTHA FAY GHISELLI.
| 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.