Associates in Dermatology Care, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

12450 Issued in AZ

Legal business name

ASSOCIATES IN DERMATOLOGY CARE, PLLC

Practice address

11000 N Scottsdale Rd Ste 120
Scottsdale, AZ 85254-6169

Phone

(480) 596-1110

Fax

(480) 596-9969

NPI assigned

Mar 27, 2012

Last updated

May 22, 2019By 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

Dr. Brooke L Blumetti, DONPI 1245488444

Title

Clinic Director

Phone

(480) 596-1110

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Brooke Leigh Blumetti, DO

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1245488444
  Medicare reassignment Care Compare group Authorized official
• Tara N. Becher, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1033532692
  Medicare reassignment Care Compare group
• Robert John Casquejo, PA-C

  • Medical Physician Assistant
  • Scottsdale, AZ
  • NPI 1043317050
  Medicare reassignment Care Compare group
• Rebecca Morrow, PA-C

  • Physician Assistant
  • Henderson, NV
  • NPI 1295066033

  AZ

  Medicare reassignment Care Compare group
• Daniel Adam Yanov

  • Physician Assistant
  • Concord, CA
  • NPI 1144987504

  AZ

  Medicare reassignment Care Compare group
• Joseph S Machuzak, D.O.

  • Dermatology Physician
  • Tucson, AZ
  • NPI 1093959744
  Medicare reassignment

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1093081879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546169",
            "telephone_number": "480-596-1110",
            "fax_number": "480-596-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546169",
            "telephone_number": "480-596-1110",
            "fax_number": "480-596-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN DERMATOLOGY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "BLUMETTI",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "480-596-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "12450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281484002",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Assisted Living Management Services Inc.
• Assisted Reproductive Labs LLC
• Associated Dental Care Providers (Associated Dental Care Scottsdale)
• Associated Ophthalmologists LTD
• Associated Optical
• Aster Therapy and Care LLC
• Jon N. Astle, MD
• Cynthia Aston, RN
• Jeff Aston, MD
• Allie Astuto, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.