Zynergy Skin & Med Spa LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ZYNERGY SKIN & MED SPA LLC

Practice address

1910 S Stapley Dr Ste 127
Mesa, AZ 85204-6676

Phone

(480) 914-3376

Fax

(480) 914-3377

NPI assigned

Oct 6, 2023

Organization subpart

No

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

Authorized official

Name

Sarah Neumann, PA-CNPI 1487781092

Title

Ceo

Phone

(855) 625-7546

Specialties & licenses 1

Addresses

Other names 1

• Zynergy Skin & Med Spa Other name

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

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00394

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah E Neumann, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1487781092
  Medicare reassignment Care Compare group Authorized official
• Dana Lynn Read, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1730959784
  Medicare reassignment Care Compare group
• Devin Lynn Gray, MD

  • Surgery Physician
  • Mesa, AZ
  • NPI 1134154941
  Medicare reassignment NPD

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1306627237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 127",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046676",
            "telephone_number": "480-914-3376",
            "fax_number": "480-914-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 127",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046676",
            "telephone_number": "480-914-3376",
            "fax_number": "480-914-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZYNERGY SKIN & MED SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-625-7546",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zynergy Skin & Med Spa",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Zynergy Skin & Med Spa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maretta G Zuercher, RDH
• Jeffrey Alan Zuhl, MD
• Kevin Zuidema, D.O.
• Ryan James Zupko, PT, DPT
• Tanya E Zweifel, LPC
• Zyon Home Care Physician LLC
• Liann Zyontz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.