ATOS DERMATOPATHOLOGY PLLC (NPI# 1508313602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508313602 |
| Entity Type | Organization |
| Organization Name | ATOS DERMATOPATHOLOGY PLLC |
| Other Organization Name | ADVOCATE DERMATOLOGY |
| Practice Address |
21300 N John Wayne Pkwy #116 Maricopa AZ 85139-8979 |
| Mailing Address |
2349 E Becker Ln Phoenix AZ 85028-3105 |
| Practice Telephone | 3125029389 |
| Mailing Telephone | 3125029389 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | CARLOS FREDERICO RODRIGUEZ (OWNER) |
| Authorized Official Telephone | 3125029389 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
42919 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 867831 | 05 |
| Other Name | Type Code |
|---|---|
| Advocate Dermatology | Doing Business As Name - Organization |
| Street Address |
21300 N JOHN WAYNE PKWY #116 |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85139-8979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336125731 | Andrew D Schatzki | Family Medicine | 21300 N John Wayne Pkwy, Ste 123, Maricopa, AZ 85239-8979 | 2005-12-16 |
| 1134673932 | Sld LLC | Dentist | 21300 N John Wayne Pkwy, Ste 108, Maricopa, AZ 85139-8979 | 2016-08-09 |
| 1396197067 | Garrett Johnson | Physical Therapist | 21300 N John Wayne Pkwy, Suite 107, Maricopa, AZ 85139-8979 | 2016-07-06 |
| 1780040832 | Arizona Associates In Dentistry PC | Dentist | 21300 N John Wayne Pkwy, Suite 128, Maricopa, AZ 85139-8979 | 2016-01-05 |
| 1790181543 | Brittany Johnson | Physician Assistant | 21300 N John Wayne Pkwy, Suite 123, Maricopa, AZ 85139-8979 | 2014-11-06 |
| 1922432632 | Akdhc, LLC | Internal Medicine | 21300 N John Wayne Pkwy, Suite 116, Maricopa, AZ 85139-8979 | 2013-08-29 |
| 1720306459 | Theresa L Bess | Nurse Practitioner | 21300 N John Wayne Pkwy, Suite 121, Maricopa, AZ 85139-8979 | 2010-05-05 |
| 1023347150 | Southwestern Pediatrics LLC | Nurse Practitioner | 21300 N John Wayne Pkwy, Ste 109, Maricopa, AZ 85139-8979 | 2009-12-21 |
| 1962737965 | Az Dermatology | Specialist | 21300 N John Wayne Pkwy, Suite 112, Maricopa, AZ 85139-8979 | 2009-10-08 |
| 1659512465 | Az-tech Radiology & Open Mri | Radiology | 21300 N John Wayne Pkwy, Suite 113, Maricopa, AZ 85239-8979 | 2009-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778899 | Star House Bhrf LLC | Clinic/Center | 44796 W Sandhill Road, Maricopa, AZ 85139 | 2020-07-23 |
| 1578020988 | Dentistry At Maricopa, LLC | Dentist | 20046 N. John Wayne Pkwy, Ste 105, Maricopa, AZ 85139 | 2019-02-22 |
| 1043732431 | The Hands of Grace | Case Management | 44570 W Sedona Trl, Maricopa, AZ 85139 | 2017-07-07 |
| 1215466636 | Dustin Jeremy Sowards | Naturopath | 18495 N Miller Way, Maricopa, AZ 85139 | 2017-06-08 |
| 1871029090 | Carolyn Wanyama | Nursing Home Administrator | 44880 W Portabello Road, Maricopa, AZ 85139 | 2017-05-08 |
| 1740638758 | Melissa Marie Trulson | Dentist | 44481 W Honeycutt Rd, Suite 109, Maricopa, AZ 85139 | 2016-05-31 |
| 1093189805 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N John Wayne Parkway, Ste 102, Maricopa, AZ 85139 | 2015-11-17 |
| 1134523079 | Shadale Gillespie | Technician | 45565 W. Rainbow Dr., Maricopa, AZ 85139 | 2014-10-21 |
| 1578964516 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N. John Wayne Parkway, Ste. 106-a, Maricopa, AZ 85139 | 2014-09-09 |
| 1104238716 | Jared Kenney | Dentist | 21300 N John Wayne Pkwy Ste 114, Maricopa, AZ 85139 | 2014-05-30 |
| Find all providers in zip 85139 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1639295843 | James Kalivas | Dermatology | 3442 E Pyrenees Pass, Phoenix, AZ 85018-1553 | 2007-03-21 |
| 1669514030 | Richard Charles Miller | Dermatology | 2375 N Wyatt Drive, Suite 108, Tucson, AZ 85712-2152 | 2007-02-13 |
| 1972565109 | Toni Cyd Stockton | Dermatology | 16611 S. 40th Street, Suite 100, Phoenix, AZ 85048 | 2006-04-04 |
| 1699743294 | Mary Elizabeth Landau-levine | Dermatology | 14301 N 87th St Ste 107, Scottsdale, AZ 85260 | 2006-03-09 |
| 1851376305 | Iftikhar Ahmed | Dermatology | 14019 S 8th St, Phoenix, AZ 85048-4459 | 2005-12-07 |
| 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 |
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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.