HENNA K PEARL (NPI# 1942480488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942480488 |
| Entity Type | Individual |
| Full Name | HENNA K PEARL |
| Credential | M.D. |
| Practice Address |
725 S Dobson Rd Ste 200 Chandler AZ 85224-5680 |
| Practice Telephone | 4808997546 |
| Practice Fax Number | 4808997599 |
| Mailing Telephone | 4808997546 |
| Mailing Fax Number | 4808997599 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2014-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 49632 | AZ | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 67584 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA MEDICAL LICENSE | 49632 | 01 |
| GA | 003128051A | 05 |
| Street Address |
725 S DOBSON RD STE 200 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-5680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678567 | Barbara Galutia Regis | Physician Assistant | 725 S Dobson Rd, Ste 103, Chandler, AZ 85224-5676 | 2005-06-09 |
| 1538560107 | Kimberly Jared | Physician Assistant | 725 S Dobson Rd, Ste 200, Chandler, AZ 85224-5679 | 2014-09-15 |
| 1972912699 | Arizona Spine and Pain Specialists LLC | Durable Medical Equipment & Medical Supplies | 725 S Dobson Rd, Ste 100, Chandler, AZ 85224-5680 | 2014-08-06 |
| 1124442199 | Daryl Potter | Nurse Practitioner | 725 S Dobson Rd, Ste 100, Chandler, AZ 85224-5680 | 2014-02-12 |
| 1417296310 | Vanessa Michael | Physician Assistant | 725 S Dobson Rd, Ste 200, Chandler, AZ 85224-5680 | 2013-02-12 |
| 1760733455 | Smi Imaging, LLC | Radiology | 725 S Dobson Rd, Suite 105, Chandler, AZ 85224-5680 | 2012-09-21 |
| 1902180656 | Hilary Kristin Reznick | Physician Assistant | 725 S Dobson Rd, St 200, Chandler, AZ 85224-5680 | 2011-09-29 |
| 1144510298 | Neal Varughese | Specialist | 725 S Dobson Rd, Suite 200, Chandler, AZ 85224-5680 | 2011-04-11 |
| 1669700993 | Premier Cardiovascular Center, Plc | Internal Medicine | 725 S Dobson Rd, Suite 100, Chandler, AZ 85224-5680 | 2009-11-24 |
| 1669634200 | Neil F Fernandes | Dermatology | 725 S Dobson Rd, Ste 200, Chandler, AZ 85224-5680 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| 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 |
|---|---|---|---|---|
| 1225533409 | Rcdc of Mesa Plc | Dermatology | 270 W Chandler Heights Rd Ste 4, Chandler, AZ 85248-5084 | 2018-03-28 |
| 1275820151 | Ryan Lee Owen | Dermatology | 725 S Dobson Rd Ste 200, Chandler, AZ 85224-5679 | 2011-06-29 |
| 1407820814 | Susan Rutledge Pardee | Dermatology | 312 N Alma School Rd Ste 5, Chandler, AZ 85224-4354 | 2006-02-14 |
| 1629051917 | Katherine Kar-hwee Quan | Dermatology | 1100 S Dobson Rd Ste 223, Chandler, AZ 85286-6160 | 2005-11-21 |
| 1013312925 | East Valley Dermatology Rx, LLC | Dermatology | 1100 S Dobson Rd, #223, Chandler, AZ 85286-6157 | 2014-11-04 |
| 1841523420 | Radiant Complexions of Chandler Plc | Dermatology | 270 W Chandler Heights Rd, Bldg 200b Suite 4, Chandler, AZ 85248-5055 | 2009-09-14 |
| 1386871523 | Ryan Falsey | Dermatology | 1100 S Dobson Rd, #223, Chandler, AZ 85286-6157 | 2009-06-15 |
| 1669634200 | Neil F Fernandes | Dermatology | 725 S Dobson Rd, Ste 200, Chandler, AZ 85224-5680 | 2008-06-25 |
| 1154513661 | Jill J Mckenzie | Dermatology | 1100 S Dobson Rd, 223, Chandler, AZ 85286-6157 | 2007-08-17 |
| 1366529836 | East Valley Dermatology Center | Dermatology | 1100 S Dobson Rd Ste 223, Chandler, AZ 85286-6160 | 2006-11-01 |
| Find all providers in CHANDLER | ||||
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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.