Susan Van Dyke, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

20156 Issued in AZ

Practice address

5206 N Scottsdale Rd
Paradise Valley, AZ 85253-7006

Phone

(480) 948-5045

Fax

(480) 948-5605

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Center for Dermatology, PLLC

  dba Arizona Dermatology

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1194792416
  NPD (past)
• Valley Anesthesiology Consultants, Inc.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1285660704
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154457018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 N SCOTTSDALE RD",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852537006",
            "telephone_number": "480-948-5045",
            "fax_number": "480-948-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 N SCOTTSDALE RD",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852537006",
            "telephone_number": "480-948-5045",
            "fax_number": "480-948-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "20156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Thongtrangan, ACNP
• Kristen Ueberschaer
• Ultimate Medical Solutions, LLC
• Usman Urooj, DPM
• Aniket A Vadnerkar, M.D.
• Norvan K Vartevan, DO
• Vibrant Voices Therapy
• Washington Elementary School District
• Pattiya Wattananimitgul
• Leland Harding Webb, MD

• Dermatology Physician in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.