Individual provider Active NPI

Jason Arthur Barr, DO

  • Dermatology Physician
  • Scottsdale, AZ
National Provider Identifier
1457312027
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
3866 Issued in AZ
Practice address
20401 N 73Rd Street
Suite 230
Scottsdale, AZ 85255-4153
Phone
(480) 556-0446
Fax
(480) 556-0447
NPI assigned
Mar 31, 2006
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 3866 AZ Primary
MOHS-Micrographic Surgery Physician 207ND0101X 3866 AZ

Addresses

Primary practice location

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

Mailing address

20401 N 73Rd Street
Suite 230
Scottsdale, AZ 85255-4153
Phone (480) 556-0446

Other identifiers 2

IdentifierTypeStateIssuer
403814MedicaidAZ
74-3037351OtherAZTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408001375 AZ Practitioner - Dermatology 4385638857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Lee Averitte Jr PLLCGroup PAC ID 9638069099, 31 clinicians

Practice addresses (Care Compare)

20401 N 73Rd St
Scottsdale, AZ 85255-4153
Phone (480) 556-0446

41810 N Venture Dr
Unit D136
Anthem, AZ 85086-3174
Phone (480) 556-0446

9520 W Palm LN
Suite 115
Phoenix, AZ 85037-4403
Phone (480) 556-0446

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision141
Removal of skin lesions732
Removal of skin cancer578
Removal or shaving of skin growth394
Skin biopsy37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Lee Averitte Jr PLLC Dermatology CurrentSince Jun 12, 2007 Accepting new patients
Arizona Desert Dermatology and Surgery PC Dermatology PastSince Sep 1, 2011 Accepting new patients
Richard Lee Averitte Jr., PLLC Past Accepting new patients
Richard Lee Averitte Jr PLLC Dermatology Past Accepting new patients
Richard Lee Averitte Jr., PLLC Past Accepting new patients

Locations

1459 S Higley Rd
Ste 106
Gilbert, AZ 85296
Phone (480) 543-6780

16515 S 40th St
Ste 135
Phoenix, AZ 85048
Phone (480) 231-1240

19646 N 27th Ave
Ste 305
Phoenix, AZ 85027

41810 N Venture Dr
Ste D136
Phoenix, AZ 85086
Phone (304) 838-3084

9520 W Palm Ln
Ste 115
Phoenix, AZ 85037

20401 N 73rd St
Ste 230
Scottsdale, AZ 85255

3501 N Scottsdale Rd
Ste 300
Scottsdale, AZ 85251
Phone (480) 949-2080

7331 E Osborn Dr
Ste 330
Scottsdale, AZ 85251
Phone (480) 990-1111

13995 W Statler Blvd
Ste 150
Surprise, AZ 85374
Phone (480) 223-6843

2127 E Baseline Rd
Ste 104
Tempe, AZ 85283
Phone (480) 897-7070

Interoperability endpoints

  • Direct secure messaging: jasonbarr@ad.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1457312027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 N 73RD STREET",
            "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 STREET",
            "address_2": "SUITE 230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554153",
            "telephone_number": "480-556-0446",
            "fax_number": "480-556-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARR",
        "first_name": "JASON",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "3866",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "3866",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403814",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "74-3037351",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.