Richard Lee Averitte Jr PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

30247 Issued in AZ

Legal business name

RICHARD LEE AVERITTE JR PLLC

Doing business as

Affiliated Dermatology

Practice address

20401 N 73Rd St
Suite 230
Scottsdale, AZ 85255-4153

Phone

(480) 556-0446

Fax

(480) 556-0447

NPI assigned

May 5, 2006

Last updated

Aug 9, 2012By 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

Marlie R Averitte

Title

Business Manager

Phone

(480) 556-0446

Specialties & licenses 1

Addresses

Other names 1

• Affiliated Dermatology 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 51

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.

• Lindsey Rae Andrade, FNP-BC

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1447776505
  Medicare reassignment Care Compare group NPD
• Jason Arthur Barr, DO

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1457312027
  Medicare reassignment Care Compare group NPD
• Rebecca Joy Bergren, ARNP

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1194075853
  Medicare reassignment Care Compare group NPD
• Lorin Cain, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1922824663
  Medicare reassignment Care Compare group NPD
• Sarah Inda Estrada, M.D.

  • Dermatopathology Physician
  • Scottsdale, AZ
  • NPI 1548350218

  Dermatology

  Medicare reassignment Care Compare group NPD
• Karan Lal, DO

  • Pediatric Dermatology Physician
  • Scottsdale, AZ
  • NPI 1679928832
  Medicare reassignment Care Compare group NPD
• Christine C Lin, MD

  • MOHS-Micrographic Surgery Physician
  • Scottsdale, AZ
  • NPI 1497703797

  Dermatology

  Medicare reassignment Care Compare group NPD
• Alexia Lombardi

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1497628291
  Medicare reassignment Care Compare group NPD
• Christina R. Love, NP

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1518686062
  Medicare reassignment Care Compare group NPD
• Mitchell Ryan Manway, D.O.

  • MOHS-Micrographic Surgery Physician
  • Scottsdale, AZ
  • NPI 1083024921

  Dermatology

  Medicare reassignment Care Compare group NPD
• Dustin James Mullens

  • Dermatology Physician
  • Gilbert, AZ
  • NPI 1548652878
  Medicare reassignment Care Compare group NPD
• Gabriella Giovanna Munguia

  • Physician Assistant
  • Mesa, AZ
  • NPI 1104667435
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1407804115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST",
            "address_2": "SUITE 230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554153",
            "telephone_number": "480-556-0446",
            "fax_number": "480-556-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST",
            "address_2": "SUITE 230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554153",
            "telephone_number": "480-556-0446",
            "fax_number": "480-556-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD LEE AVERITTE JR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "AVERITTE",
        "authorized_official_first_name": "MARLIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "480-556-0446"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "30247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Bernert, LLC (Arizona Dermatopathology)
• Richard J Settles DO
• Richard J Settles, DO, PC
• Richard J. Brown, MD, PLLC
• Richard L Gomez MD PC
• Richard P Jacoby DPM, PC (Extremity Health Center)
• Richard P. Jacoby DPM PC
• Richard P. Jacoby, DPM, PC
• Richards and Kim Group Corporation (Aligned Integrative Medicine)
• Alexis Bree Richards, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.