Michael H Dershowitz, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0154 Issued in AZ

Practice address

926 E McDowell Rd
Suite 121
Phoenix, AZ 85006-2503

Phone

(602) 340-8686

Fax

(602) 340-8061

NPI assigned

Oct 13, 2005

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1063401941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E MCDOWELL RD",
            "address_2": "SUITE 121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062503",
            "telephone_number": "602-340-8686",
            "fax_number": "602-340-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E MCDOWELL RD",
            "address_2": "SUITE 121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062503",
            "telephone_number": "602-340-8686",
            "fax_number": "602-340-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERSHOWITZ",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Umphlett MD PC
• Brenda Joyce Derrick, LPN
• Cheri Diane Dersam, M.D.
• Michael D Dersam, MD
• Anne Merrylees Dersch, MD
• Shockie M Dersno, LPC
• Jenna Derubeis, OD
• Ina Dervishi, MD
• Juniper Dery-Chaffin, PA-C
• Anish Kumar Desai, MD

• Podiatrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.