RICHARD LEE AVERITTE JR., PLLC (NPI# 1598112831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598112831 |
| Entity Type | Organization |
| Organization Name | RICHARD LEE AVERITTE JR., PLLC |
| Other Organization Name | AFFILIATED DERMATOLOGY |
| Practice Address |
13995 W Statler Blvd Suite 150 Surprise AZ 85374-5501 |
| Mailing Address |
20401 N 73rd St Suite 230 Scottsdale AZ 85255-4153 |
| Practice Telephone | 4802236843 |
| Practice Fax Number | 4802236851 |
| Mailing Telephone | 4805560446 |
| Mailing Fax Number | 4802236954 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |
| Authorized Official Name | MARLIE AVERITTE (CFO) |
| Authorized Official Telephone | 4805560446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 3866 | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Affiliated Dermatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619428851 | Richard Lee Averitte Jr., Pllc | Non-Pharmacy Dispensing Site | 41810 N Venture Dr, Suite D136, Anthem, AZ 85086-3169 | 2016-10-24 |
| Street Address |
13995 W STATLER BLVD SUITE 150 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124070453 | Richard C. Han | Pediatrics | 13995 W Statler Blvd, Surprise, AZ 85374-5501 | 2006-05-16 |
| 1023622867 | Jacqueline Kristina Dumagpi | Family Medicine | 13995 W Statler Blvd, Surprise, AZ 85374-5501 | 2020-08-31 |
| 1538309133 | Leszek Grabowski | Obstetrics & Gynecology | 13995 W Statler Blvd, Surprise, AZ 85374-5501 | 2009-02-23 |
| 1346414422 | Teresa Dean Malcolm | Obstetrics & Gynecology | 13995 W Statler Blvd, Surprise, AZ 85374-5501 | 2008-04-18 |
| 1689869182 | Afshin Malaki | Obstetrics & Gynecology | 13995 W Statler Blvd, Banner Surprise Health Center, Surprise, AZ 85374-5501 | 2007-09-09 |
| 1225129364 | Sharen S Brown | Nurse Practitioner | 13995 W Statler Blvd, #200, Surprise, AZ 85374-5501 | 2006-09-27 |
| 1659303360 | Christopher N Bressler | Family Medicine | 13995 W Statler Blvd, Suite 200, Surprise, AZ 85374-5501 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528485307 | Sun City West Medical Associates | Non-Pharmacy Dispensing Site | 14674 W Mountain View Blvd, Suite 200, Surprise, AZ 85374-2706 | 2014-03-18 |
| 1386066264 | Surprise Health Center Pllc | Non-Pharmacy Dispensing Site | 14973 W Bell Rd, Suite 100, Surprise, AZ 85374-3236 | 2014-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609375740 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 89 Civic Center Ln, Lake Havasu City, AZ 86403-0810 | 2018-02-05 |
| 1518318328 | John C Lincoln, LLC | Non-Pharmacy Dispensing Site | 6220 W Bell Rd, Suite 100, Glendale, AZ 85308-3718 | 2016-06-23 |
| 1992178982 | Caremore Health Plan of Arizona Inc | Non-Pharmacy Dispensing Site | 315 W Irvington Rd, Ste.101, Tucson, AZ 85714-3151 | 2015-11-12 |
| 1558747725 | Arizona Oncology Associates, PC | Non-Pharmacy Dispensing Site | 3188 N Windsong Dr # Sr, Ste. # A, Prescott Valley, AZ 86314-1220 | 2015-08-10 |
| 1578976379 | Arizona Oncology Associates PC | Non-Pharmacy Dispensing Site | 1315 S La Canada Dr, Green Valley, AZ 85622-1915 | 2014-06-09 |
| 1023302643 | Tri-state Medical Specialists LLC | Non-Pharmacy Dispensing Site | 1510 Wagon Wheel Lane, Suite 110, Fort Mohave, AZ 86426-6698 | 2011-05-31 |
| 1396066395 | Wound Care Usa, LLC | Non-Pharmacy Dispensing Site | 3959 E Speedway Blvd, Suite 316, Tucson, AZ 85712-4553 | 2010-06-14 |
| 1417112541 | Gold Canyon Internal Medicine | Non-Pharmacy Dispensing Site | 6724 S Kings Ranch Rd Ste 102, Gold Canyon, AZ 85118-2963 | 2008-07-29 |
| 1740442573 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 10210 N. 92nd St, Suite 301, Scottsdale, AZ 85258 | 2008-07-02 |
| 1558523381 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 18700 N. 64th Dr, Suite 101, Glendale, AZ 85308 | 2008-07-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RICHARD LEE AVERITTE JR., PLLC.
| 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.