Dermatology and Plastic Surgery of Arizona LLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

DERMATOLOGY AND PLASTIC SURGERY OF ARIZONA LLC

Practice address

150 S Coronado Dr Ste 110
Sierra Vista, AZ 85635-6352

Phone

(520) 458-1787

Fax

(520) 458-1519

NPI assigned

Jul 9, 2013

Last updated

Oct 8, 2025By 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

Dr. Jamie M Moenster, D.O.NPI 1710189931

Title

Member

Phone

(520) 458-1787

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

Locations

Practitioners 7

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.

• Jamie Michelle Moenster, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Tucson, AZ
  • NPI 1710189931
  Medicare reassignment Care Compare group NPD Authorized official
• Geneva Daneker, FNP

  • Family Nurse Practitioner
  • Sierra Vista, AZ
  • NPI 1619419157
  Medicare reassignment Care Compare group NPD
• Jessica Garnier

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1760959118
  Medicare reassignment Care Compare group NPD
• Candy Mungarro-Rubio, FNP

  • Family Nurse Practitioner
  • Sierra Vista, AZ
  • NPI 1114697067
  Medicare reassignment Care Compare group NPD
• Marco Swanson, MD

  • Plastic and Reconstructive Surgery Physician
  • Tucson, AZ
  • NPI 1386148047
  Medicare reassignment Care Compare group NPD
• Christopher William Weyer, D.O.

  • MOHS-Micrographic Surgery Physician
  • Sierra Vista, AZ
  • NPI 1851515381

  Dermatology

  Medicare reassignment Care Compare group NPD
• Amy Weierman, PA-C

  • Physician Assistant
  • Tucson, AZ
  • NPI 1447409305
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1649611476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S CORONADO DR STE 110",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356352",
            "telephone_number": "520-458-1787",
            "fax_number": "520-458-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S CORONADO DR STE 110",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356352",
            "telephone_number": "520-458-1787",
            "fax_number": "520-458-1519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101 N Oracle Rd # 121",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857043713",
            "country_code": "US",
            "telephone_number": "520-207-3100",
            "fax_number": "520-777-7634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERMATOLOGY AND PLASTIC SURGERY OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "MOENSTER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-458-1787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "006021",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "006018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analysia J Delgadillo, OD
• Frederique P. Delhaye, M.D.
• Nathan Allen Demarco, PT, DPT, MS
• Dennis George Demers, RN
• Rhegan Riane Derfus, IBCLC
• Desert Blossom Midwifery LLC
• Desert Cardiovascular Group LTD
• Desert Pain and Rehab Specialists, PLLC
• Desert Rehab LLC
• Desert Rose Neurology

• MOHS-Micrographic Surgery Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• MOHS-Micrographic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.