Scottsdale Skin Boutique Aesthetics

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SCOTTSDALE SKIN BOUTIQUE AESTHETICS

Practice address

11333 N Scottsdale Rd Ste 115
Scottsdale, AZ 85254-5186

Phone

(480) 998-1400

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Genevieve Egnatios, MDNPI 1164683793

Title

Dermatologist

Phone

(480) 998-1400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Genevieve L Egnatios, M.D.

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1164683793
  NPD Authorized official

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1720670938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 N SCOTTSDALE RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545186",
            "telephone_number": "480-998-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 N SCOTTSDALE RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545186",
            "telephone_number": "480-998-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE SKIN BOUTIQUE AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "EGNATIOS",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "480-998-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scottsdale Residential Care Investors
• Scottsdale Rheumatology LTD
• Scottsdale Sedation Management, Co. LLC
• Scottsdale Shea Outpatient Treatment Center
• Scottsdale Shea Surgery Center, LLC
• Scottsdale Skin Boutique and Dermatology PLLC
• Scottsdale Sleep Center PLC
• Scottsdale Sleep Clinic, PLLC
• Scottsdale Smile Center
• Scottsdale Spine ASC 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 Feb 9, 2021; 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.