ALL DERMATOLOGY, INC. (NPI# 1578727947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578727947 |
| Entity Type | Organization |
| Organization Name | ALL DERMATOLOGY, INC. |
| Other Organization Name | ALLERGY AND DERMATOLOGY SPECIALISTS, INC. |
| Practice Address |
6320a W Union Hills Dr Suite 210 Glendale AZ 85308-7177 |
| Mailing Address |
14239 W Bell Rd Suite 101 Suprise AZ 85374-2469 |
| Practice Telephone | 6233767600 |
| Practice Fax Number | 6233760229 |
| Mailing Telephone | 6235447755 |
| Mailing Fax Number | 6235448665 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | MR. JAMES F PEHOUSHEK (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 6233767600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
Allopathic & Osteopathic Physicians | ||
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Allergy and Dermatology Specialists, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558525824 | All Dermatology, Inc. | Allergy & Immunology | 4400 N 32nd St, Suite 250, Phoenix, AZ 85018-3953 | 2008-07-15 |
| 1023199544 | All Dermatology, Inc. | Allergy & Immunology | 14239 W Bell Rd, Suite 101, Surprise, AZ 85374-2469 | 2006-10-18 |
| Street Address |
6320A W UNION HILLS DR SUITE 210 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-7177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649251091 | Mekeia H Stevenson | Physical Therapist | 6320a W Union Hills Dr, Ste 265, Glendale, AZ 85308-1098 | 2005-11-10 |
| 1619513520 | Kelsey Hagerdon | Physical Therapist | 6320a W Union Hills Dr, Glendale, AZ 85308-7177 | 2019-11-26 |
| 1376919142 | Evan Jones | Physical Therapist | 6320a W Union Hills Dr, Suite 265, Glendale, AZ 85308-7177 | 2015-08-17 |
| 1689054835 | Dillon C Harris | Physical Therapist | 6320a W Union Hills Dr, Suite 265, Glendale, AZ 85308-7177 | 2015-06-03 |
| 1770982233 | Victoria L Albers | Physical Therapist | 6320a W Union Hills Dr, Suite 265, Glendale, AZ 85308-7177 | 2014-08-20 |
| 1871916429 | Amanda Mulder | Physical Therapist | 6320a W Union Hills Dr, 265, Glendale, AZ 85308-7177 | 2014-01-31 |
| 1417244807 | Kimberly Kruchowsky | Physical Therapist | 6320a W Union Hills Dr, Glendale, AZ 85308-7177 | 2011-07-06 |
| 1548498868 | Deborah A Tweedy | Nurse Practitioner | 6320a W Union Hills Dr, Suite 110, Glendale, AZ 85308 | 2009-06-25 |
| 1588787568 | Michael Anthony Herion | Ophthalmology | 6320a W Union Hills Dr, Suite 200, Glendale, AZ 85308-7177 | 2007-04-06 |
| 1417045071 | Melissa Lynn Burrill | Physical Therapist | 6320a W Union Hills Dr, Suite 265, Glendale, AZ 85308-7177 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
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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.