Richard Cirelli, MD, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RICHARD CIRELLI, MD, PC

Practice address

955 Black Dr
Prescott, AZ 86305-1403

Phone

(928) 445-7546

Fax

(928) 445-7598

NPI assigned

Nov 19, 2007

Last updated

Nov 6, 2018By 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

Richard Allen Cirelli, M.D.NPI 1265439335

Title

Owner

Phone

(928) 445-7546

Specialties & licenses 4

Addresses

Other names 1

• SUNWEST DERMATOLOGY Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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.

• Richard Allen Cirelli, M.D

  • Dermatology Physician
  • Prescott, AZ
  • NPI 1265439335
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1659552560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 BLACK DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051403",
            "telephone_number": "928-445-7546",
            "fax_number": "928-445-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BLACK DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051403",
            "telephone_number": "928-445-7546",
            "fax_number": "928-445-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD CIRELLI, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "CIRELLI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-445-7546",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AZ",
            "license": "AZ27370",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNWEST DERMATOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles Michael Reyer
• Michelangelo Perie Reyes, MD
• Kay Rhan
• Gerry Rice, LCP
• Nicholas H Rice, MD
• Richard Covey, MD, PC
• Richard D. Collison, M.D.,P.C.
• Richard Mangum DDS PC
• Richard Pleva (Digestive Disease Specialists)
• Tyler Richards

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.