NPIMap

Organization Active NPI

East Valley Dermatology Center

  • Dermatology Physician
  • Chandler, AZ
National Provider Identifier
1366529836
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
EAST VALLEY DERMATOLOGY CENTER
Practice address
1100 S Dobson Rd Ste 223
Chandler, AZ 85286-6160
Phone
(480) 821-8888
Fax
(480) 821-0888
NPI assigned
Nov 1, 2006
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Dr. Rosemary Janet Geary, M.D.NPI 1467431668
Title
Owner/Physician
Phone
(480) 821-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

1100 S Dobson Rd Ste 223
Chandler, AZ 85286-6160

Mailing address

1100 S Dobson Rd Ste 223
Chandler, AZ 85286-6160
Phone (480) 821-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001518 AZ Part B Supplier - Clinic/Group Practice 8022093384 Receives reassigned benefits from 16 practitioners
Practice locations: Chandler, AZ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1006709East Valley Dermatology Center1100 S Dobson Rd #223, Chandler, AZ 85286Provider-performed microscopyFeb 14, 2028

National Provider Directory

National Provider Directory

Locations

1100 S Dobson Rd
Ste 223
Chandler, AZ 85286
Phone (480) 821-8888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDDGBA

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1366529836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S DOBSON RD STE 223",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866160",
            "telephone_number": "480-821-8888",
            "fax_number": "480-821-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S DOBSON RD STE 223",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866160",
            "telephone_number": "480-821-8888",
            "fax_number": "480-821-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY DERMATOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "GEARY",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "JANET",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "480-821-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.