Active NPI
Valley of the Sun Surgical Dermatology Inc
- Specialist
- Scottsdale, AZ
National Provider Identifier
1013197961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 24109
- Legal business name
- VALLEY OF THE SUN SURGICAL DERMATOLOGY INC
- Practice address
- 8406 E Shea Blvd
Suite 100
Scottsdale, AZ 85260-6659 - Phone
- (480) 998-1158
- Fax
- (480) 998-0123
- NPI assigned
- Nov 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lora J Plattner, MD
- Title
- Ceo
- Phone
- (480) 998-1158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 24109 | AZ | Primary |
Addresses
Primary practice location
8406 E Shea Blvd
Suite 100
Scottsdale, AZ 85260-6659
Mailing address
8406 E Shea Blvd
Ste 100
Scottsdale, AZ 85260-6659
Phone (480) 998-1158
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070013612 | Other | AZ | RAIL ROAD MEDICARE |
| 349798 | Other | AZ | AHCCCS QMB |
| 648438 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
8406 E Shea Blvd
Ste 100
Scottsdale, AZ 85260
Phone (480) 998-1158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442534400000",
"number": "1013197961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8406 E SHEA BLVD",
"address_2": "STE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606659",
"telephone_number": "480-998-1158",
"fax_number": "480-998-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8406 E SHEA BLVD",
"address_2": "SUITE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606659",
"telephone_number": "480-998-1158",
"fax_number": "480-998-0123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY OF THE SUN SURGICAL DERMATOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-08",
"last_updated": "2015-09-18",
"status": "A",
"authorized_official_last_name": "PLATTNER",
"authorized_official_first_name": "LORA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-998-1158",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AZ",
"license": "24109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "070013612",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS QMB",
"identifier": "349798",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "648438",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
- Valley Neurology Clinic PC
- Valley Obstetrics & Gynecology PC
- Valley of the Sun Homecare, LLC
- Valley of the Sun Institute for Pain Management, PLLC (Sedona Pain and Rehabilitation, PLLC)
- Valley of the Sun Medical Care PC
- Valley Oximetry Incorporated (Valley Sleep Center)
- Valley Physical Therapy Services, LLC
- Valley Rheumatology PC (Scottsdale Rheumatology Center)
- Valley Spinal Care Bell PLLC
- Valley Spinal Care Kierland PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.