Fox Dermatology and Aesthetics LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FOX DERMATOLOGY AND AESTHETICS LLC

Practice address

3514 N Power Rd Ste 123
Mesa, AZ 85215-2909

Phone

(480) 319-9500

Fax

(480) 319-9599

NPI assigned

Mar 24, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Carlie Fox, PA-CNPI 1609128255

Title

PA-C/Owner

Phone

(480) 516-7552

Specialties & licenses 3

Addresses

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

Practitioners 3

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

• Carlie Fox, PA-C

  • Physician Assistant
  • Gilbert, AZ
  • NPI 1609128255
  Medicare reassignment Care Compare group Authorized official
• J Ryan Jackson, DO

  • MOHS-Micrographic Surgery Physician
  • Mesa, AZ
  • NPI 1346633161

  Dermatology

  Medicare reassignment Care Compare group NPD
• Michael Lehrer, MD

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1578919403
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1447051461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 N POWER RD STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152909",
            "telephone_number": "480-319-9500",
            "fax_number": "480-319-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 N POWER RD STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152909",
            "telephone_number": "480-319-9500",
            "fax_number": "480-319-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX DERMATOLOGY AND AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "CARLIE",
        "authorized_official_title_or_position": "PA-C/OWNER",
        "authorized_official_telephone_number": "480-516-7552",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Christine Fowler, B.A,
• Bailey Le Shea Fowler
• Michelle Lyn Penfield Fowler, MA, LAC
• Richard F Fowler, MD
• Sean Cody Fowler, MACC, DO
• Angela Marie Fox, MS CCC SLP
• Molly M Fox, DO
• Scott Mitchell Fox, OD
• Steven G Fox, PH.D.
• Tommie Foxworth

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.