Integrated Dermatology of Yuma PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

INTEGRATED DERMATOLOGY OF YUMA PLLC

Practice address

2500 S 8TH Ave Ste 101
Yuma, AZ 85364-7108

Phone

(928) 783-0169

NPI assigned

Feb 20, 2013

Organization subpart

No

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

Authorized official

Name

Adam S Plotkin, MDNPI 1306896105

Title

Manager

Phone

(561) 314-2000

Specialties & licenses 1

Addresses

Other names 1

• Dermatology Center of Yuma Doing business as

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 5

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

• Kiran Dhillon

  • Family Nurse Practitioner
  • Yuma, AZ
  • NPI 1720658891
  Medicare reassignment Care Compare group NPD
• Ben Michael Williams, MD

  • Dermatology Physician
  • Anthem, AZ
  • NPI 1407483852
  Medicare reassignment Care Compare group NPD
• Partik Singh, MD

  • MOHS-Micrographic Surgery Physician
  • Westlake Village, CA
  • NPI 1720479488

  AZ, Dermatology

  Medicare reassignment Care Compare group NPD
• Sandra M Corbin, PA-C

  • Medical Physician Assistant
  • Yuma, AZ
  • NPI 1871585943
  Medicare reassignment Care Compare group
• Adam S Plotkin, MD

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1306896105
  NPD (past) Authorized official

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1376883801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-314-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S 8TH AVE STE 101",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647108",
            "telephone_number": "928-783-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DERMATOLOGY OF YUMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "PLOTKIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-314-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Center of Yuma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dermatology Center of Yuma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.