MS. JAYSHRI GAMOTH


Address: 4540 E Baseline Rd Ste 109, Mesa, AZ 85206-4616
Phone: 4809823337

MS. JAYSHRI GAMOTH (NPI# 1851340467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851340467
Entity Type Individual
Full Name MS. JAYSHRI GAMOTH
Credential MD
Practice Address 4540 E Baseline Rd Ste 109
Mesa
AZ 85206-4616
Practice Telephone 4809823337
Practice Fax Number 4804974580
Mailing Telephone 4809823337
Mailing Fax Number 4804974580
Enumeration Date 2006-05-09
Last Update Date 2020-06-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 36353 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ RAIL ROAD MEDICARE DN5890 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
10503 W Thunderbird Blvd Ste 114, Sun City, AZ 853513047 4809823337 4804974580
1821 N Trekell, Ste 7, Casa Grande, AZ 85222 5203742462 5203742467

Office Location

Street Address 4540 E BASELINE RD STE 109
City MESA
State AZ
Zip Code 85206-4616

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508035411 Az Dermatology LLC Dermatology 4540 E Baseline Rd Ste 109, Mesa, AZ 85206-4616 2008-02-25
1700997988 Richard G Levine Dermatology 4540 E Baseline Rd Ste 109, Mesa, AZ 85206-4616 2006-08-31

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NPI Name Taxonomy Address Enumeration
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1023651288 Jason Mcclure Hearing Instrument Specialist 5540 E Broadway Rd., Mesa, AZ 85206 2019-10-21
1255995361 Vhs of Phoenix Inc General Acute Care Hospital 5750 E. Baseline Rd., Mesa, AZ 85206 2019-04-24
1932682184 Adam Fishel Frose Psychologist 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 2018-09-13
1376024737 Robyn Kathleen Hall Psychologist 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 2018-08-23
1790264984 Perspective Health, LLC Clinic/Center 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 2018-08-09
1033605159 Rebecca Ann Maro Nurse Practitioner 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 2018-07-02
1982195624 Spark Performance and Physiotherapy Clinic/Center 6056 East Basline Road, Suite 147, Mesa, AZ 85206 2018-05-29
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548779713 Ryan Kirk Bingham Dermatology 2855 E Brown Rd Ste 22, Mesa, AZ 85213-4216 2017-09-20
1659829109 Arizona Skin and Laser Therapy Institute, Ltd Dermatology 6644 E Baseline Rd, Mesa, AZ 85206-4438 2016-09-13
1659630713 Robert Anderton Dermatology 4318 N Desert Oasis Cir, Mesa, AZ 85207-7246 2012-05-10
1962729160 Chao Li Dermatology 6832 E Brown Rd, Mesa, AZ 85207 2010-04-27
1083841225 Daniel Peterson Skinner Jr. Dermatology 2050 W Southern Ave Ste 102, Mesa, AZ 85202-4702 2009-06-15
1679685614 Robert David Griego Dermatology 2250 W Southern, 102, Mesa, AZ 85202 2006-08-31
1770699134 Zeena Irene Ubogy Dermatology 2150 S Dobson Road, Ste #1, Mesa, AZ 85202 2006-08-21
1053368134 Alvin R. Fulkerson Dermatology 1242 E Mckellips Rd, Ste 103, Mesa, AZ 85203-2763 2006-05-27
1568416790 Rcdc of Mesa Plc Dermatology 2158 N Gilbert Rd, Suite 121a, Mesa, AZ 85203-2109 2006-05-20
1962451146 Lane R Bigler Dermatology 6832 E Brown Road, Mesa, AZ 85207-3755 2006-05-08
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Competitor

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City MESA
Zip Code 85206

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Dataset Information

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.

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