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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
15963 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
4425 E AGAVE RD SUITE 148 |
City | PHOENIX |
State | AZ |
Zip Code | 85044-0619 |
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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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 Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
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. |
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 |
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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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.