Active NPI
Adobe Dermatology, PC
- Dermatology Physician
- Tucson, AZ
National Provider Identifier
1356495105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 22332
- Legal business name
- ADOBE DERMATOLOGY, PC
- Practice address
- 5155 E Farness Dr
Suite 111B
Tucson, AZ 85712-2158 - Phone
- (520) 795-3800
- Fax
- (520) 795-3806
- NPI assigned
- Jan 22, 2007
- Last updated
- Oct 22, 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
- Nancy G Silvis, MD
- Title
- President
- Phone
- (520) 795-3800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 22332 | AZ | Primary |
Addresses
Primary practice location
5155 E Farness Dr
Suite 111B
Tucson, AZ 85712-2158
Mailing address
PO Box 30370
Tucson, AZ 85751-0370
Phone (520) 722-0777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175366 | Medicaid | AZ | |
| AZ0885160 | Other | AZ | BCBSAZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Dermatology Physician
- Tucson, AZ
- NPI 1740380427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1356495105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30370",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857510370",
"telephone_number": "520-722-0777",
"fax_number": "520-290-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5155 E FARNESS DR",
"address_2": "SUITE 111B",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122158",
"telephone_number": "520-795-3800",
"fax_number": "520-795-3806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADOBE DERMATOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "SILVIS",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "520-795-3800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "22332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175366",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAZ",
"identifier": "AZ0885160",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.