Anthony J Petelin
CENTER FOR DERMATOLOGY PC


Address: 11209 N Tatum Blvd, Suite 175, Phoenix, AZ 85028-6016
Phone: 4809057274

Anthony J Petelin (NPI# 1063668531, PAC ID# 4082880737) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1063668531
PAC ID by PECOS 4082880737
Professional Enrollment ID I20120109000826
Full Name Anthony J Petelin
Organization Legal Name CENTER FOR DERMATOLOGY PC
Address 11209 N Tatum Blvd
Suite 175
Phoenix
AZ 85028-6016
Phone Number 4809057274
Gender M
Medical School UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year 2006
Primary Specialty DERMATOLOGY
Group Practice PAC ID 1557355385
Number of Group Practice Members 25
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3530 S Val Vista Dr, Suite B109, Gilbert, AZ 85297-7318 4809058485 CENTER FOR DERMATOLOGY PC
18699 N 67th Ave, Suite 220, Glendale, AZ 85308-7142 4809058485113 CENTER FOR DERMATOLOGY PC
11209 N Tatum Blvd, Suite 175, Phoenix, AZ 85028-6016 4809057274 CENTER FOR DERMATOLOGY PC
14275 N 87th St, Suite 110, Scottsdale, AZ 85260-3696 4809058485113 CENTER FOR DERMATOLOGY PC
10440 E Riggs Rd, Suite 160, Sun Lakes, AZ 85248-7757 4809058485113 CENTER FOR DERMATOLOGY PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 39%
MIPS_EC_137_overall Melanoma: Continuity of Care - Recall System 77%
MIPS_EC_224_overall Melanoma: Overutilization of Imaging Studies in Melanoma 100%
MIPS_EC_238_2+ Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 0%
MIPS_EC_238_overall Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 0%
MIPS_EC_358_overall Patient-Centered Surgical Risk Assessment and Communication 9%
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 95%
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 33%

Organization Information

Organization Legal Name CENTER FOR DERMATOLOGY PC
Physicians 26

Physicians with the same organization

Name Specialty Organization Address
David Daniel Feist Physician Assistant Center for Dermatology PC 1890 E Florence Blvd, Suite 4, Casa Grande, AZ 85122-5642
Gary A Mccracken Dermatology Center for Dermatology PC 2777 E Camelback Rd, Suite 140, Phoenix, AZ 85016-4351
Paul M Petelin General Surgery Center for Dermatology PC 11209 N Tatum Blvd, Suite 175, Phoenix, AZ 85028-6016
Brian J Deguzman Thoracic Surgery Center for Dermatology PC 11209 N Tatum Blvd, Suite 175, Phoenix, AZ 85028-6016
Karin R Brimhall Physician Assistant Center for Dermatology PC 1890 E Florence Blvd, Suite 4, Casa Grande, AZ 85122-5642
James Brian Young Dermatology Center for Dermatology PC 1890 E Florence Blvd, Suite 4, Casa Grande, AZ 85122-5642
Jessica Rosenblum Physician Assistant Center for Dermatology PC 11209 N Tatum Blvd, Suite 175, Phoenix, AZ 85028-6016
Daniel Lyman Condie Dermatology Center for Dermatology PC 1890 E Florence Blvd, Suite 4, Casa Grande, AZ 85122-5642
Michael Jay Bernhardt Dermatology Center for Dermatology PC 11209 N Tatum Blvd, Suite 175, Phoenix, AZ 85028-6016
Sophia Au Stenger Physician Assistant Center for Dermatology PC 11209 N Tatum Blvd, Suite 175, Phoenix, AZ 85028-6016

Office Location

Street Address 11209 N TATUM BLVD
SUITE 175
City PHOENIX
State AZ
Zip 85028-6016

Physicians in the same location

Name Specialty Organization Address
Keegan Ashley Russell Nurse Practitioner Ironwood Physicians PC 11209 N Tatum Blvd, Suite 260, Phoenix, AZ 85028-6025
Anthony J Katz Family Medicine Paradise Valley Family Medicine, PC 11209 N Tatum Blvd, Suite 180, Phoenix, AZ 85028-6016
John J Mcsweeney Nurse Practitioner Ironwood Physicians PC 11209 N Tatum Blvd, Suite 260, Phoenix, AZ 85028-6025
Jason Aaron Salganick Medical Oncology Ironwood Physicians PC 11209 N Tatum Blvd, Suite 260, Phoenix, AZ 85028-6025
Paul M Petelin General Surgery Center for Dermatology PC 11209 N Tatum Blvd, Suite 175, Phoenix, AZ 85028-6016
Felix B Carrillo Physical Therapy Ati Holdings of Arizona, LLC 11209 N Tatum Blvd, Suite B 120, Phoenix, AZ 85028-3091
Warren C Johnson Family Medicine Paradise Valley Family Medicine, PC 11209 N Tatum Blvd, Suite 180, Phoenix, AZ 85028-6016
Heather M Bily Physical Therapy Ati Holdings of Arizona, LLC 11209 N Tatum Blvd, Suite B 120, Phoenix, AZ 85028-3091
Jeffrey Lace Physical Therapy Ati Holdings of Arizona, LLC 11209 N Tatum Blvd, Suite B 120, Phoenix, AZ 85028-3091
Brian J Deguzman Thoracic Surgery Center for Dermatology PC 11209 N Tatum Blvd, Suite 175, Phoenix, AZ 85028-6016
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Physicians in the same zip code

Name Specialty Organization Address
Gary N Goodman Psychologist, Clinical 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607
Mi Le Tran Psychiatry 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607
Larisa Eubank Newell Psychologist, Clinical 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607
Lisa Joy Gordon Clinical Social Worker 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607
Jason Robert Newell Clinical Psychologist 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607
Shelley B Dooley Nurse Practitioner 11120 N Tatum Blvd, Suite 101, Phoenix, AZ 85028-1628
Amanda C Rainwater Dermatology Southwest Skin Specialists LLC 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630
Miriam P Cummings Dermatology Southwest Skin Specialists LLC 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630
Joseph M Giancola Dermatology Southwest Skin Specialists LLC 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630
Benjamin W Lesueur Dermatology Southwest Skin Specialists LLC 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630
Find all physicians in zip 85028

Competitor

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City PHOENIX
Zip Code 85028
Specialty DERMATOLOGY
City + Specialty PHOENIX + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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