SOUTHWEST SKIN & CANCER INSTITUTE
NPI 1679774749
Dermatology in Prescott, AZ

Active since May 29, 2007
242 WHIPPLE STREET, PRESCOTT, AZ 86301(928) 778-0808 Get Directions Write a Review

NPPES record last updated: September 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southwest Skin & Cancer Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST SKIN & CANCER INSTITUTE (NPI 1679774749) is a healthcare organization registered as a dermatology in Prescott, Arizona and active in the NPI registry since May 2007. The organization lists Robin Fleck, President, as its authorized official.

NPPES Registry Identity

NPI1679774749
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTHWEST SKIN & CANCER INSTITUTE
Location Address242 WHIPPLE STREETPrescott, AZ 86301-1787
Mailing Address242 Whipple StreetPrescott, AZ 86301-1787 · (928) 778-0808
Organization SubpartNo
Authorized OfficialRobin FleckPresident · (928) 778-0808
Enumeration DateMay 29, 2007
Last NPPES UpdateSeptember 10, 2008
NPI 1679774749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AZ · 31062AZ
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 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.
242 WHIPPLE STREET, Prescott, AZ 86301

Other Identifiers 2

Medicare PINZ102738AZ
Medicare PINDD5820AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
242 WHIPPLE STREET
PRESCOTT, AZ 86301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Skin & Cancer Institute's NPI number?

The NPI number for Southwest Skin & Cancer Institute is 1679774749. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is Southwest Skin & Cancer Institute located?

Southwest Skin & Cancer Institute is located at 242 Whipple Street, Prescott, AZ 86301. The listed phone number is (928) 778-0808.

What is Southwest Skin & Cancer Institute's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Southwest Skin & Cancer Institute was last updated on September 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.