RICHARD LEE AVERITTE JR PLLC (NPI# 1609291848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609291848 |
Entity Type | Organization |
Organization Name | RICHARD LEE AVERITTE JR PLLC |
Other Organization Name | AFFILIATED DERMATOLOGY |
Practice Address |
19646 N 27th Ave Ste 305 Phoenix AZ 85027-4017 |
Mailing Address |
20401 N 73rd St Ste 230 Scottsdale AZ 85255-4107 |
Practice Telephone | 4805560446 |
Mailing Telephone | 4805560446 |
Enumeration Date | 2014-02-25 |
Last Update Date | 2014-02-25 |
Authorized Official Name | MARLIE AVERITTE (CFO) |
Authorized Official Telephone | 4805560446 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
40537 | AZ | Allopathic & Osteopathic Physicians |
N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
40537 | AZ | Allopathic & Osteopathic Physicians |
N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
40537 | AZ | Allopathic & Osteopathic Physicians |
N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
40537 | AZ | Allopathic & Osteopathic Physicians |
N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
40537 | AZ | Allopathic & Osteopathic Physicians |
Y | 207N00000X | Dermatology | 40537 | AZ | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Affiliated Dermatology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407804115 | Richard Lee Averitte Jr Pllc | Dermatology | 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4153 | 2006-05-05 |
Street Address |
19646 N 27TH AVE STE 305 |
City | PHOENIX |
State | AZ |
Zip Code | 85027-4017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215927892 | Paragi R Shah | Obstetrics & Gynecology | 19646 N 27th Ave, Ste 403, Phoenix, AZ 85027-4017 | 2005-10-25 |
1417345919 | Arizona Oncology Associates PC | Physician Assistant | 19646 N 27th Ave, Ste. # 406, Phoenix, AZ 85027-4028 | 2015-01-06 |
1326471640 | Lisa Kay Dela Cruz | Nurse Practitioner | 19646 N 27th Ave, Suite 301, Phoenix, AZ 85027-4017 | 2013-08-11 |
1932471323 | John C. Lincoln Genetics Cancer Risk | Medical Genetics | 19646 N 27th Ave, Ste. 201, Phoenix, AZ 85027-4017 | 2012-02-01 |
1033498399 | Breast Imaging Specialists of Arizona, LLC | Radiology | 19646 N 27th Ave, Ste. 205, Phoenix, AZ 85027-4017 | 2011-08-04 |
1184866386 | John C Lincoln LLC | Clinic/Center | 19646 N 27th Ave, Suite 205, Phoenix, AZ 85027 | 2009-04-02 |
1942462767 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 19646 N 27th Ave, Suite 408, Phoenix, AZ 85027 | 2008-07-02 |
1629268503 | Yamini Subbiah | Internal Medicine | 19646 N 27th Ave, Suite 301 Dr. Subbiah-gastroenterology (care for Women), Phoenix, AZ 85027-4017 | 2007-07-27 |
1689701682 | Loretta Jo Nevarez-kells | Nurse Practitioner | 19646 N 27th Ave, Ste. # 403, Phoenix, AZ 85027-4017 | 2007-02-27 |
1689687410 | Yebabe Melak Mengesha | Dermatology | 19646 N 27th Ave, Suite 305, Phoenix, AZ 85027-4017 | 2006-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
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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.