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KATHARINE M BERMINGHAM CORDOVA MD NPI 1396962767


NPI Information

NPI: 1396962767
Provider Name: KATHARINE M BERMINGHAM CORDOVA, MD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
14506 W GRANITE VALLEY DR
#206
SUN CITY WEST, AZ
ZIP 85375
Phone: (623) 584-2127
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Katharine M Bermingham Cordova, MD is a mohs-micrographic surgery dermatology in Sun City West, AZ with 19 years of experience. The provider is 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. Katharine M Bermingham Cordova, MD NPI is 1396962767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:2005

The provider's business location address is:

14506 W GRANITE VALLEY DR
#206
SUN CITY WEST, AZ
ZIP 85375-010
Phone: (623) 584-2127
Fax: (623) 584-1257

The NPI 1396962767 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) (HCPCS:17311)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (HCPCS:17312)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) (HCPCS:17313)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)
  • Destruction of skin growth (HCPCS:17000)
  • Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs (HCPCS:13121)

The enumeration date for this NPI number is 4/19/2007 and was last updated on 1/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic Surgery46040ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P01106960OTHERARIZONARAILROAD MEDICARE
21396962767OTHERARIZONATRICARE
3Z154623MEDICARE PINARIZONA
4722830OTHERARIZONAAHCCCS
53044230OTHERARIZONAUNITED HEALTHCARE
65Z0069OTHERARIZONAHEALTH NET
71396962767OTHERARIZONABLUE CROSS BLUE SHIELD
8722830MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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