Deborah S. Mendelson, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

12965 Issued in AZ

Practice address

111 E Dunlap Ave
#1-471
Phoenix, AZ 85020-2807

Phone

(602) 944-4626

Fax

(602) 396-5800

NPI assigned

Sep 26, 2005

Last updated

Jan 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Deborah S. Mendelson, MD PLC

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1790020295
  Authorized official Same address or phone
• North Mountain Dermatology LTD

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1730293432
  Authorized official Same address or phone
• Squaw Peak Anesthesia Inc

  • Registered Nurse
  • Tempe, AZ
  • NPI 1134352925
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1508852492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9327 N 3RD ST",
            "address_2": "SUITE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202470",
            "telephone_number": "602-944-4626",
            "fax_number": "602-396-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E DUNLAP AVE",
            "address_2": "#1-471",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202807",
            "telephone_number": "602-944-4626",
            "fax_number": "602-396-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSON",
        "first_name": "DEBORAH",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "12965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232934",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070000807",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Menard, LPC
• Phillip I Menashe, M.D.
• Alyssa Mencini, D.M.D
• Rachel Lynn Mendazona, DMD
• Elliot Mendelsohn, M.D.
• Jenny Mendelson, M.D.
• Jessica Menden
• Cole Fredrick Paul Mendenhall, MD
• Joy Mae Mendenhall, PNP
• Juliet Mendez Alba, NMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.