ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD (NPI# 1730637281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730637281 |
| Entity Type | Organization |
| Organization Name | ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD |
| Practice Address |
288 N Ironwood Dr Suite 105 Apache Junction AZ 85120-3830 |
| Mailing Address |
2224 W Northern Ave Suite D300 Phoenix AZ 85021-4928 |
| Practice Telephone | 4806714086 |
| Practice Fax Number | 4806714105 |
| Mailing Telephone | 6022771449 |
| Mailing Fax Number | 6022779984 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | NEIL P SUPERFON (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 6022772247 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902355720 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 153 N Central Ave, Coolidge, AZ 85128-4405 | 2016-09-22 |
| 1427506203 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 375 N Joshua Ave, Quartzsite, AZ 85346-9999 | 2016-09-21 |
| 1659829109 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 6644 E Baseline Rd, Mesa, AZ 85206-4438 | 2016-09-13 |
| 1740373257 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 1500 S White Mountain Rd Ste 201, Show Low, AZ 85901-7116 | 2006-10-02 |
| 1790732832 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 2224 W Northern Ave, Suite D-300, Phoenix, AZ 85021-4928 | 2006-05-27 |
| 1770519019 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 4232 E Cactus Rd, Suite 100, Phoenix, AZ 85032-7602 | 2006-06-25 |
| 1760418008 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 4001 E Baseline Rd, Suite B-8, Gilbert, AZ 85234-2726 | 2006-06-25 |
| Street Address |
288 N IRONWOOD DR SUITE 105 |
| City | APACHE JUNCTION |
| State | AZ |
| Zip Code | 85120-3830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022148 | Russell Vernon Pearson | Social Worker | 288 N Ironwood Dr, Apache Junction, AZ 85220-3830 | 2005-09-07 |
| 1609228451 | Raquel Ramirez | Counselor | 288 N Ironwood Dr, Apache Junction, AZ 85120-3830 | 2016-07-05 |
| 1255780953 | Willisha Tucker | Counselor | 288 N Ironwood Dr, Apache Junction, AZ 85120-3830 | 2016-06-03 |
| 1245495209 | Daniel E. Parke | Social Worker | 288 N Ironwood Dr, Apache Junction, AZ 85220-3830 | 2008-07-18 |
| 1578721056 | Mercy Rd.chiropractic,p.l.l.c. | Clinic/Center | 288 N Ironwood Dr, #108-109, Apache Junction, AZ 85120-3830 | 2008-05-30 |
| 1902084551 | Stacey L. Atkins | Counselor | 288 N Ironwood Dr, Suite 110, Apache Junction, AZ 85120-3830 | 2008-02-06 |
| 1437284353 | Charlie Mitchell, Ph.d. P.C. | Psychologist | 288 N Ironwood Dr, #110, Apache Junction, AZ 85220-3830 | 2007-02-22 |
| 1750416673 | Merril Heslop | Social Worker | 288 N Ironwood Dr, 110, Apache Junction, AZ 85220-3830 | 2007-02-22 |
| 1568533024 | George Christopher Berry | Psychologist | 288 N Ironwood Dr, Suite 110, Apache Junction, AZ 85220-3830 | 2006-11-13 |
| 1033164538 | White Mountain Dermatology LLC | Dermatology | 288 N Ironwood Dr, Suite 105, Apache Junction, AZ 85220-3830 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437709508 | Azmo Medical Services, LLC | General Practice | 212 West Superstition Boulevard, # 101, Apache Junction, AZ 85120 | 2019-09-19 |
| 1902359771 | Fawn Boonstra | Dietitian, Registered | 99 S. Gold Dr. Suite 5, Goldfield Cardiovascular Institute, Apache Junction, AZ 85120 | 2016-07-28 |
| 1407104110 | Catherine Pagayonan Araza | Pharmacist | 11545 E Apache Trail, Apache Junction, AZ 85120 | 2012-08-28 |
| 1871868992 | Gilbert Unified School Dist | Local Education Agency (LEA) | 1370 W Montebello Ave, Apache Junction, AZ 85120 | 2012-03-22 |
| 1275758971 | Sharon L Paul | Psychiatry & Neurology | 2066 W. Apache Trail, Suite 112, Apache Junction, AZ 85120 | 2007-04-16 |
| 1649397696 | Charles A. Garon | Social Worker | 625 N. Plaza Dr, Apache Junction, AZ 85120 | 2007-03-23 |
| 1942239900 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3185 W Apache Trl, Apache Junction, AZ 85120 | 2006-07-02 |
| 1144617812 | Katelyn Geyer | Family Medicine | 2080 W Southern Ave Bldg B10, Apache Junction, AZ 85120 | 2015-04-21 |
| 1982788899 | Arthur Y Chou | Psychiatry & Neurology | 625 N Plaza Dr, Apache Junction, AZ 85120 | 2006-10-25 |
| 1720022346 | Skyline Physical Therapy Aquatics and Rehab Specialists | Physical Therapist | 10241 E Apache Trl, Apache Junction, AZ 85120-3203 | 2006-06-15 |
| Find all providers in zip 85120 | ||||
| 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 |
|---|---|---|---|---|
| 1255308003 | Gerardo C Brual | Dermatology | 288 N Ironwood, #105, Apache Junction, AZ 85220-3830 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559471 | Innovative Dermatology Alliance Az, PC | Dermatology | 390 Bralliar Rd, Wickenburg, AZ 85390 | 2020-05-11 |
| 1902427735 | Derma Healthcare Solutions Pllc | Dermatology | 4716 E Thunderbird Rd, Phoenix, AZ 85032-5541 | 2020-05-04 |
| 1598310559 | Avant Dermatology & Aesthetics Pllc | Dermatology | 8580 N Oracle Rd Ste 140, Oro Valley, AZ 85704-6512 | 2019-08-07 |
| 1982268504 | Melody Maarouf | Dermatology | 7165 N Pima Canyon Dr, Tucson, AZ 85718-1407 | 2019-04-29 |
| 1114485646 | Saguaro Dermatology Associates LLC | Dermatology | 3400 E Mcdowell Rd Fl 2, Phoenix, AZ 85008-3884 | 2019-03-04 |
| 1114405503 | Joshua Harrison | Dermatology | 13771 N Fountain Hills Blvd # 114-103, Fountain Hills, AZ 85268-3762 | 2018-07-30 |
| 1386133684 | Az Mobile Derm Inc | Dermatology | 6857 E Beverly Ln, Scottsdale, AZ 85254-1566 | 2018-05-02 |
| 1225533409 | Rcdc of Mesa Plc | Dermatology | 270 W Chandler Heights Rd Ste 4, Chandler, AZ 85248-5084 | 2018-03-28 |
| 1548779713 | Ryan Kirk Bingham | Dermatology | 2855 E Brown Rd Ste 22, Mesa, AZ 85213-4216 | 2017-09-20 |
| 1306369996 | Clear Sky Dermatology LLC | Dermatology | 14044 W Camelback Rd Ste 220, Litchfield Park, AZ 85340-9426 | 2017-07-25 |
| Find all providers with the same taxonomy | ||||
| City | APACHE JUNCTION |
| Zip Code | 85120 |
Please comment or provide details below to improve the information on ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD.
| 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.