AHWATUKEE SKIN & LASER LLC


Address: 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619
Phone: 4807047546

AHWATUKEE SKIN & LASER LLC (NPI# 1407167596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407167596
Entity Type Organization
Organization Name AHWATUKEE SKIN & LASER LLC
Practice Address 4425 E Agave Rd
Suite 148
Phoenix
AZ 85044-0619
Practice Telephone 4807047546
Mailing Telephone 4807047546
Mailing Fax Number 4807047549
Enumeration Date 2010-06-23
Last Update Date 2010-08-14
Authorized Official Name SARAH E NEUMANN (MANAGER, PROVIDER)
Authorized Official Telephone 4807047546
Authorized Official Credential PA-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0900X Dermatology
Specialization: Dermatopathology
15963 AZ Allopathic & Osteopathic Physicians

Office Location

Street Address 4425 E AGAVE RD
SUITE 148
City PHOENIX
State AZ
Zip Code 85044-0619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356307300 Harriet J Smith Psychologist 4425 E Agave Rd, #140, Phoenix, AZ 85044 2006-04-26
1841837051 Cameron Call Chiropractor 4425 E Agave Rd, Ste 104, Phoenix, AZ 85044-0620 2019-12-06
1528432630 Eric Matthew Dodson Chiropractor 4425 E Agave Rd, 150, Phoenix, AZ 85044-0619 2015-12-01
1801274600 Mark Weaver Physician Assistant 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619 2015-05-12
1457757585 Bethany Derea Cheatham Nurse Practitioner 4425 E Agave Rd, #148, Phoenix, AZ 85044-0619 2014-11-17
1437435658 Inmotion Health & Wellness, LLC Chiropractor 4425 E Agave Rd, Suite 150, Phoenix, AZ 85044-0619 2011-11-02
1053633396 Veronica Alexander Counselor 4425 E Agave Rd, Suite 140 Building 7, Phoenix, AZ 85044-0619 2010-02-26
1083883714 Karen Gage Marriage & Family Therapist 4425 E Agave Rd, Suite 116, Phoenix, AZ 85044-0619 2008-02-27
1487781092 Sarah E Neumann Physician Assistant 4425 E Agave Rd, 148, Phoenix, AZ 85044-0619 2007-02-28
1619012630 Jereen Maria Goldstein Counselor 4425 E Agave Rd, Phoenix, AZ 85044-0619 2007-02-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023637345 Jamie Roshun Dawson Contractor 13229 S 48th St Apt 3051, Phoenix, AZ 85044 2020-04-16
1548807514 The Horizon Chiropractic Center Clinic/Center 4425 East Agave Road Suite 104, Phoenix, AZ 85044 2019-12-09
1134777634 Elite Therapy of Az Occupational Therapist 15245 S 48th Street, Phoenix, AZ 85044 2019-08-28
1487217584 Vitae Felix Psychologist 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 2019-04-16
1578082392 Karena Janiece Herron Nurse Practitioner 13625 S 48th St Apt 2100, Phoenix, AZ 85044 2017-09-13
1053847319 Amanda Girardi Dentist 4726 E Verbena Dr, Phoenix, AZ 85044 2017-05-05
1518402593 Janet Swift Counselor 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 2016-12-29
1588074876 Suzanne Morris Nurse Practitioner 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 2014-05-07
1891117974 Dr. Cameron Khavari Pllc Chiropractor 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 2014-01-09
1316213416 Shyam Sundar Tangri Internal Medicine 13623 S. 45th St, Phoenix, AZ 85044 2012-03-22
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Taxonomy Information

Taxonomy Code 207ND0900X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639295843 James Kalivas Dermatology 3442 E Pyrenees Pass, Phoenix, AZ 85018-1553 2007-03-21
1972565109 Toni Cyd Stockton Dermatology 16611 S. 40th Street, Suite 100, Phoenix, AZ 85048 2006-04-04
1851376305 Iftikhar Ahmed Dermatology 14019 S 8th St, Phoenix, AZ 85048-4459 2005-12-07
1689687410 Yebabe Melak Mengesha Dermatology 19646 N 27th Ave, Suite 305, Phoenix, AZ 85027-4017 2006-08-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750800033 Hw Dermatology Pllc Dermatology 10238 E Hampton Ave Ste 404, Mesa, AZ 85209-3319 2017-09-18
1194028266 Cynthia Anne O'neil Dermatology 516 E Whitehouse Canyon Rd, Green Valley, AZ 85614-0531 2010-12-13
1669514030 Richard Charles Miller Dermatology 2375 N Wyatt Drive, Suite 108, Tucson, AZ 85712-2152 2007-02-13
1699743294 Mary Elizabeth Landau-levine Dermatology 14301 N 87th St Ste 107, Scottsdale, AZ 85260 2006-03-09
1538142625 Karen E Warschaw Dermatology 9060 E Via Linda, Suite 150, Scottsdale, AZ 85258-5417 2005-11-22
1467457267 Jill A Cohen Dermatology 7485 E Tanque Verde Rd, Tucson, AZ 85715-3477 2005-06-17
1831606144 Concierge Healthcare of Az Chaz LLC Dermatology 7702 E Doubletree Ranch Rd Ste 300, Scottsdale, AZ 85258-2132 2018-01-08
1508313602 Atos Dermatopathology Pllc Dermatology 21300 N John Wayne Pkwy, #116, Maricopa, AZ 85139-8979 2016-09-07
1427428416 Southwest Skin & Cancer Institute Ltd Dermatology 242 Whipple St, Prescott, AZ 86301-1787 2015-10-02
1730430182 Wellbeing Institute Dermatology 3615 N Prince Village Pl, Suite 121, Tucson, AZ 85719-2054 2012-09-25
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Competitor

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City PHOENIX
Zip Code 85044

Improve Information

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Dataset Information

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.

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