Jerold L Powers, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

11237 Issued in AZ

Practice address

10752 N 89TH PL
B-121
Scottsdale, AZ 85260-6730

Phone

(480) 661-0030

Fax

(480) 661-9601

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Skin Care Specialists PLLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1104391655
  Medicare reassignment NPD

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1487615407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL",
            "address_2": "B-121",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606730",
            "telephone_number": "480-661-0030",
            "fax_number": "480-661-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL",
            "address_2": "B-121",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606730",
            "telephone_number": "480-661-0030",
            "fax_number": "480-661-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "JEROLD",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "11237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "AZ0027610",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen C Power, MS.ED, LPC
• Jennifer Powers Sharp, AU.D.
• Bryon Leon Powers, ACUPUNCTURIST
• Frank Powers, PH.D
• Gigi Jeanne Powers, SLPA
• Susan J Powers, LPC
• Teri Calleen Powers, DAOM, L.AC.
• Maxim Powiada, DC
• Laurie M Pozun, D.O.
• PPH Franchise Holdings LLC

• 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 Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.