SCOTTSDALE DERMATOLOGY, LTD (NPI# 1568833994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568833994 |
| Entity Type | Organization |
| Organization Name | SCOTTSDALE DERMATOLOGY, LTD |
| Other Organization Name | PHOENIX DERMATOLOGY |
| Practice Address |
20940 N Tatum Blvd Suite 270 Phoenix AZ 85050-4265 |
| Practice Telephone | 4805020400 |
| Practice Fax Number | 4805020432 |
| Mailing Telephone | 4805020400 |
| Mailing Fax Number | 4805020432 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-11-02 |
| Authorized Official Name | DR. GLENN KEVIN YARBROUGH (OWNER / PRESIDENT) |
| Authorized Official Telephone | 4809456356 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | AZ15963 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PHOENIX DERMATOLOGY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174635031 | Scottsdale Dermatology, Ltd | Specialist | 3302 N Miller Rd Ste D, Scottsdale, AZ 85251-6489 | 2006-08-31 |
| Street Address |
20940 N TATUM BLVD SUITE 270 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460616 | Richard George Keightley | Allergy & Immunology | 20940 N Tatum Blvd, Ste 205, Phoenix, AZ 85050-7260 | 2005-07-12 |
| 1518328871 | Gondra Center for Reproductive Care & Advanced Gynecology | Obstetrics & Gynecology | 20940 N Tatum Blvd, Ste B210, Phoenix, AZ 85050-4265 | 2016-03-15 |
| 1073973558 | Gondra Center for Ivf Laboratories | Clinical Medical Laboratory | 20940 N Tatum Blvd, Ste B210, Phoenix, AZ 85050-4265 | 2016-02-26 |
| 1386000917 | Advanced Scottsdale Anesthesia LLC | Specialist | 20940 N Tatum Blvd, Phoenix, AZ 85050-4265 | 2016-01-12 |
| 1245659531 | Arizona Glaucoma Specialists - North Phoenix, LLC | Ophthalmology | 20940 N Tatum Blvd, Suite 250, Phoenix, AZ 85050-7246 | 2014-04-15 |
| 1477802981 | Global Sleep | Clinic/Center | 20940 N Tatum Blvd, #325, Phoenix, AZ 85050-4265 | 2012-08-30 |
| 1174816730 | Emily Edwards Inglhofer | Family Medicine | 20940 N Tatum Blvd, Suite 300, Phoenix, AZ 85050-4265 | 2011-05-16 |
| 1285963389 | Spine Physicians PC | Family Medicine | 20940 N Tatum Blvd, Suite 350, Phoenix, AZ 85050-4265 | 2009-12-18 |
| 1114155140 | Chrystal D Lemaster | Family Medicine | 20940 N Tatum Blvd, Suite 390, Phoenix, AZ 85050-4265 | 2009-06-29 |
| 1891929733 | Alethea Y. Turner | Family Medicine | 20940 N Tatum Blvd, Suite 390, Phoenix, AZ 85050-4265 | 2009-05-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427735 | Derma Healthcare Solutions Pllc | Dermatology | 4716 E Thunderbird Rd, Phoenix, AZ 85032-5541 | 2020-05-04 |
| 1114485646 | Saguaro Dermatology Associates LLC | Dermatology | 3400 E Mcdowell Rd Fl 2, Phoenix, AZ 85008-3884 | 2019-03-04 |
| 1396122727 | Thomas Lee | Dermatology | 2525 W Carefree Hwy Ste 144, Phoenix, AZ 85085-6096 | 2015-05-06 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1215374186 | Ramin Fathi | Dermatology | 4550 E Bell Rd Bldg 5, Phoenix, AZ 85032-9390 | 2013-05-31 |
| 1699087809 | Morgan James Mackey | Dermatology | 9327 N 3rd St Ste 206, Phoenix, AZ 85020-2473 | 2010-07-06 |
| 1609900299 | Lindsay Skye Ackerman | Dermatology | 1331 N 7th St Ste 250, Phoenix, AZ 85006-2722 | 2007-03-15 |
| 1538238373 | Susan Il Iorio | Dermatology | 4400 N. 32nd Street, Ste250, Phoenix, AZ 85018 | 2006-11-07 |
| 1598869687 | Mark Richard Rosenberg | Dermatology | 20950n Tatum Blvd 350, Phoenix, AZ 85050-4256 | 2006-09-11 |
| 1538272596 | Peter J. Casper | Dermatology | 2928 N 18th Pl, Peter J. Casper, M.d., Phoenix, AZ 85016-7705 | 2006-08-16 |
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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.