ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD (NPI# 1760418008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760418008 |
| Entity Type | Organization |
| Organization Name | ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD |
| Practice Address |
4001 E Baseline Rd Suite B-8 Gilbert AZ 85234-2726 |
| Mailing Address |
2224 W Northern Ave D 300 Phoenix AZ 85021-4928 |
| Practice Telephone | 4808440510 |
| Practice Fax Number | 4808441663 |
| Mailing Telephone | 6022771449 |
| Mailing Fax Number | 6022779984 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | NEIL P SUPERFON (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 6022771449 |
| Authorized Official Credential | D.O. |
| 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 |
| 1730637281 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 288 N Ironwood Dr, Suite 105, Apache Junction, AZ 85120-3830 | 2016-09-13 |
| 1770519019 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 4232 E Cactus Rd, Suite 100, Phoenix, AZ 85032-7602 | 2006-06-25 |
| Street Address |
4001 E BASELINE RD SUITE B-8 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013909969 | Cigna Health Care of Arizona Inc | Pharmacy | 4001 E Baseline Rd, Ste 107, Gilbert, AZ 85234-2726 | 2005-08-17 |
| 1326596719 | Lighthouse Psychiatry LLC | Psychiatry & Neurology | 4001 E Baseline Rd, Suite B-7, Gilbert, AZ 85234-2726 | 2016-09-14 |
| 1164871075 | Central Arizona Gi & Liver Institute LLC | Clinic/Center | 4001 E Baseline Rd, Suite 102, Gilbert, AZ 85234-2726 | 2016-06-10 |
| 1245562826 | Crazy About Kids Pulmonary Services LLC | Pediatrics | 4001 E Baseline Rd, Ste 205, Gilbert, AZ 85234-2726 | 2010-02-05 |
| 1831360569 | Jenna Gail Burningham | Occupational Therapist | 4001 E Baseline Rd, Suite B2, Gilbert, AZ 85234-2726 | 2008-03-21 |
| 1457562290 | Keith Leslie Potter | Music Therapist | 4001 E Baseline Rd, Suite B2, Gilbert, AZ 85234-2726 | 2007-05-24 |
| 1265588487 | Professional Radiology Consultants | Radiology | 4001 E Baseline Rd, Suite 105, Gilbert, AZ 85234-2726 | 2007-01-29 |
| 1497813513 | Desert View Ultrasound, Inc. | Clinic/Center | 4001 E Baseline Rd, Suite 203, Gilbert, AZ 85234-2726 | 2006-12-04 |
| 1124199898 | Melissa J Johnson | Occupational Therapist | 4001 E Baseline Rd, Ste B2, Gilbert, AZ 85234-2726 | 2006-11-13 |
| 1942371505 | Cigna Health Care of Arizona Inc. | Clinic/Center | 4001 E Baseline Rd, Ste 107, Gilbert, AZ 85234-2726 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| 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 |
|---|---|---|---|---|
| 1336536143 | Daniel Condie | Dermatology | 3530 S Val Vista Dr # B109, Gilbert, AZ 85297-7318 | 2015-04-20 |
| 1568783819 | Gregory J Wing | Dermatology | 1688 E. Boston St., Suite #101, Gilbert, AZ 85295-6220 | 2010-06-21 |
| 1053631457 | Ali M Rkein | Dermatology | 1688 E Boston St #101, Gilbert, AZ 85295-6220 | 2010-06-08 |
| 1437276276 | Matthew Travis Woods | Dermatology | 1688 E. Boston St., Suite 101, Gilbert, AZ 85295 | 2007-03-26 |
| 1962420315 | Sam P Smith | Dermatology | 4915 East Baseline Road, Suite 102, Gilbert, AZ 85234-2966 | 2006-07-17 |
| 1225674450 | Desert Dermatology & Skin Cancer Specialists, P.C. | Dermatology | 1400 N Gilbert Rd Ste L, Gilbert, AZ 85234-2327 | 2019-11-22 |
| 1710904636 | Sam P Smith Do LLC | Dermatology | 4915 E Baseline Rd, Suite 102, Gilbert, AZ 85234-2965 | 2006-07-16 |
| 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 |
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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.