Medical Dermatology Specialists, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

377554 Issued in AZ

Legal business name

MEDICAL DERMATOLOGY SPECIALISTS, PC

Practice address

1331 N 7TH St
Suite 250
Phoenix, AZ 85006-2754

Phone

(602) 354-5770

Fax

(602) 354-5607

NPI assigned

Apr 21, 2008

Last updated

Apr 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lindsay Skye Ackerman, MDNPI 1609900299

Title

MD/Owner

Phone

(602) 481-7593

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsay Skye Ackerman, MD

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1609900299
  Authorized official Same address or phone

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1013181080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504676",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631504676",
            "telephone_number": "602-354-5770",
            "fax_number": "602-354-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST",
            "address_2": "SUITE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062754",
            "telephone_number": "602-354-5770",
            "fax_number": "602-354-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DERMATOLOGY SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "SKYE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "602-481-7593",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "377554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.