RCDC of Surprise PLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RCDC OF SURPRISE PLC

Practice address

16952 W Bell Rd
Suite 304
Surprise, AZ 85374-8951

Phone

(623) 584-3588

Fax

(623) 584-3589

NPI assigned

Oct 12, 2007

Last updated

Jul 25, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles W Love, M.D.NPI 1043312432

Title

M.D./Owner

Phone

(515) 226-8484

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles W Love, MD

  • Dermatology Physician
  • West Des Moines, IA
  • NPI 1043312432
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1679761720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16952 W BELL RD",
            "address_2": "SUITE 304",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748951",
            "telephone_number": "623-584-3588",
            "fax_number": "623-584-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16952 W BELL RD",
            "address_2": "SUITE 304",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748951",
            "telephone_number": "623-584-3588",
            "fax_number": "623-584-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCDC OF SURPRISE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "515-226-8484",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Michelle Rauch, AUD
• Kortney Lynn Rawak, FNP-C
• Takesha L. Ray
• Victoria Silibaziso Razgunas, DNP, FNP-BC
• RCDC of Mesa PLC (Radiant Complexions Dermatology Clinic)
• RCS Management Corp (Lincare Aac)
• Sean Rea, D.O.
• Kristen Nichole Ready, FNP, PMHNP
• Rebecca S Real, LMSW
• Rebecca Welker, Ms, CCC-SP, LLC

• Dermatology Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.