Jesse M Olmedo is a Dermatology in Surprise, Arizona. Jesse M Olmedo practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jesse M Olmedo is 1265490429. The last update date is 2014-04-09.
Jesse M Olmedo's current location address is 14800 W Mountain View Blvd, Surprise, Arizona. You can contact this provider via phone number 6235843376 and fax number 6235843375. The mailing address for Jesse M Olmedo is 14800 W Mountain View Blvd, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse M Olmedo |
|---|---|
| Address | 14800 W Mountain View Blvd, Surprise, Arizona |
| Phone Number | 6235843376 |
| Fax Number | 6235843375 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265490429 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2014-04-09 |
Provider Mailing Address Detail
| Address | 14800 W Mountain View Blvd |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853744795 |
| Phone Number | 6235843376 |
| Fax Number | 6235843375 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 30536 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1265490429 | AZ | AHCCCS | |
| 2281872 | AZ | UNITED HEALTHCARE | |
| 99S007000011 | AZ | MEDISUN | |
| 7538647 | AZ | AETNA | |
| 2Z3349 | AZ | HEALTH NET | |
| AZ0779550 | AZ | BLUE CROSS BLUE SHIELD | |
| 188961600 | AZ | DEPT OF LABOR WORK COMP | |
| P00234871 | AZ | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jesse M Olmedo by the Centers for Medicare & Medicaid Services?
The Jesse M Olmedo has been assigned the NPI (National Provider Identifier) 1265490429 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jesse M Olmedo?
The Jesse M Olmedo is situated at 14800 W Mountain View Blvd, in the city of Surprise, state of AZ, with the zip code 853744795.
What is Jesse M Olmedo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jesse M Olmedo's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date was the 1265490429 assigned to Jesse M Olmedo?
The Jesse M Olmedo was issued its 1265490429 on 2006-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jesse M Olmedo most recently updated or revised?
The information pertaining to Jesse M Olmedo, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-09.