Ahwatukee Skin & Laser LLC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

15963 Issued in AZ

Legal business name

AHWATUKEE SKIN & LASER LLC

Practice address

4425 E Agave Rd
Suite 148
Phoenix, AZ 85044-0619

Phone

(480) 704-7546

NPI assigned

Jun 23, 2010

Last updated

Aug 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah E Neumann, PA-CNPI 1487781092

Title

Manager, Provider

Phone

(480) 704-7546

Specialties & licenses 1

Addresses

Locations

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.

• Sarah E Neumann, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1487781092
  Authorized official Same address or phone

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281744000000",
    "number": "1407167596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 E AGAVE RD",
            "address_2": "SUITE 148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440619",
            "telephone_number": "480-704-7546",
            "fax_number": "480-704-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 E AGAVE RD",
            "address_2": "SUITE 148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440619",
            "telephone_number": "480-704-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHWATUKEE SKIN & LASER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-08-14",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER, PROVIDER",
        "authorized_official_telephone_number": "480-704-7546",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "AZ",
            "license": "15963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahwatukee MC Care Properties, LLC (Hawthorn Court at Ahwatukee)
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• Ahwatukee Pediatrics, P.C.
• Ahwatukee Physical Therapy Inc (Ahwatukee Physical Therapy)
• Ahwatukee Psychology LLC
• Ahwatukee Sports and Spine PLC
• Ahwatukee Surgery Center, PC
• Aia Hospitalists LLC (Alliance Hospitalists)
• Aid to Adoption of Special Kids
• Aidaly Care Mso LLC (Aidaly Care)

• Dermatopathology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dermatopathology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2010; 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.