BRADLEY DON RASMUSSEN (NPI# 1942230925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942230925 |
| Entity Type | Individual |
| Full Name | BRADLEY DON RASMUSSEN |
| Credential | M.D. |
| Practice Address |
4425 E Agave Rd Suite 148 Phoenix AZ 85044-0619 |
| Practice Telephone | 4807047546 |
| Practice Fax Number | 4807047549 |
| Mailing Telephone | 4807047546 |
| Mailing Fax Number | 4807047549 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2015-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 27555 | AZ | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 5663814-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023222163 | Bradley J. Rasmussen | Pharmacist | 2525 Horizon Lake Dr, Suite 101, Memphis, TN 38133-8119 | 2007-05-09 |
| Street Address |
4425 E AGAVE RD SUITE 148 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-0619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356307300 | Harriet J Smith | Psychologist | 4425 E Agave Rd, #140, Phoenix, AZ 85044 | 2006-04-26 |
| 1841837051 | Cameron Call | Chiropractor | 4425 E Agave Rd, Ste 104, Phoenix, AZ 85044-0620 | 2019-12-06 |
| 1528432630 | Eric Matthew Dodson | Chiropractor | 4425 E Agave Rd, 150, Phoenix, AZ 85044-0619 | 2015-12-01 |
| 1801274600 | Mark Weaver | Physician Assistant | 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619 | 2015-05-12 |
| 1457757585 | Bethany Derea Cheatham | Nurse Practitioner | 4425 E Agave Rd, #148, Phoenix, AZ 85044-0619 | 2014-11-17 |
| 1437435658 | Inmotion Health & Wellness, LLC | Chiropractor | 4425 E Agave Rd, Suite 150, Phoenix, AZ 85044-0619 | 2011-11-02 |
| 1407167596 | Ahwatukee Skin & Laser LLC | Dermatology | 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619 | 2010-06-23 |
| 1053633396 | Veronica Alexander | Counselor | 4425 E Agave Rd, Suite 140 Building 7, Phoenix, AZ 85044-0619 | 2010-02-26 |
| 1083883714 | Karen Gage | Marriage & Family Therapist | 4425 E Agave Rd, Suite 116, Phoenix, AZ 85044-0619 | 2008-02-27 |
| 1487781092 | Sarah E Neumann | Physician Assistant | 4425 E Agave Rd, 148, Phoenix, AZ 85044-0619 | 2007-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
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| 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 |
|---|---|---|---|---|
| 1902427735 | Derma Healthcare Solutions Pllc | Dermatology | 4716 E Thunderbird Rd, Phoenix, AZ 85032-5541 | 2020-05-04 |
| 1114485646 | Saguaro Dermatology Associates LLC | Dermatology | 3400 E Mcdowell Rd Fl 2, Phoenix, AZ 85008-3884 | 2019-03-04 |
| 1396122727 | Thomas Lee | Dermatology | 2525 W Carefree Hwy Ste 144, Phoenix, AZ 85085-6096 | 2015-05-06 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1215374186 | Ramin Fathi | Dermatology | 4550 E Bell Rd Bldg 5, Phoenix, AZ 85032-9390 | 2013-05-31 |
| 1699087809 | Morgan James Mackey | Dermatology | 9327 N 3rd St Ste 206, Phoenix, AZ 85020-2473 | 2010-07-06 |
| 1609900299 | Lindsay Skye Ackerman | Dermatology | 1331 N 7th St Ste 250, Phoenix, AZ 85006-2722 | 2007-03-15 |
| 1538238373 | Susan Il Iorio | Dermatology | 4400 N. 32nd Street, Ste250, Phoenix, AZ 85018 | 2006-11-07 |
| 1598869687 | Mark Richard Rosenberg | Dermatology | 20950n Tatum Blvd 350, Phoenix, AZ 85050-4256 | 2006-09-11 |
| 1538272596 | Peter J. Casper | Dermatology | 2928 N 18th Pl, Peter J. Casper, M.d., Phoenix, AZ 85016-7705 | 2006-08-16 |
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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.