Jenna Wald, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

58462 Issued in AZ

Practice address

4540 E Baseline Rd Ste 109
Mesa, AZ 85206-4616

Phone

(480) 982-3337

Fax

(480) 497-4580

NPI assigned

Mar 31, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

University of Iowa, RJ & L Carver College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Valley Dermatology CenterGroup PAC ID 8022093384, 15 clinicians

Saguaro Dermatology Associates LLCGroup PAC ID 3577892561, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.76 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.19

Merit-based Incentive Payment System (MIPS)

Final score

87.48 of 100Reported as group

Quality

88.21

Improvement activities

40

Cost

73.99

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• NM HMO C-SNP

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDDGBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Valley Dermatology Center

  • Dermatology Physician
  • Chandler, AZ
  • NPI 1366529836
  Medicare reassignment Care Compare group NPD
• Saguaro Dermatology Associates LLC

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1114485646
  Medicare reassignment Care Compare group NPD
• Az Dermatology LLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1508035411
  Medicare reassignment NPD
• Az Dermatology

  • Specialist
  • Maricopa, AZ
  • NPI 1962737965
  NPD
• Saguaro Dermatology Associates LLC

  • Specialist
  • Mesa, AZ
  • NPI 1588797179
  NPD
• East Valley Dermatology RX, LLC

  • Non-Pharmacy Dispensing Site
  • Chandler, AZ
  • NPI 1013312925

  Dermatology

  NPD (past)
• The Center for Advanced Dermatology, P.C.

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1750470175
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1003159872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064616",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064616",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 S Dobson Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852026487",
            "country_code": "US",
            "telephone_number": "480-820-9774",
            "fax_number": "480-897-0820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850083884",
            "country_code": "US",
            "telephone_number": "480-681-3300",
            "fax_number": "480-681-3301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 N Trekell Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851221705",
            "country_code": "US",
            "telephone_number": "520-374-2462",
            "fax_number": "520-374-2467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6724 S Kings Ranch Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gold Canyon",
            "state": "AZ",
            "postal_code": "851182962",
            "country_code": "US",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10503 W Thunderbird Blvd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513047",
            "country_code": "US",
            "telephone_number": "623-466-8585",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1343 N Alma School Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245941",
            "country_code": "US",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALD",
        "first_name": "JENNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-31",
        "last_updated": "2022-06-20",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "58462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Waite, MC, LPC
• Adrienne Wakefield
• Wal-Mart Stores, Inc.
• Wal-Mart Stores, Inc.
• Wal-Mart Stores, Inc.
• Debi Waldeck, NBHWC
• Spencer Thomas Walden, LMT
• Tamara Kay Waldron, PA-C
• Sean Steven Wale, DO
• Walgreen Co

• MOHS-Micrographic Surgery Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• MOHS-Micrographic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.