Organization Active NPI

Deborah S. Mendelson, MD PLC

  • Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1790020295
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DEBORAH S. MENDELSON, MD PLC
Practice address
9327 N 3Rd St
Ste 206
Phoenix, AZ 85020-2470
Phone
(602) 944-4626
Fax
(602) 396-5800
NPI assigned
Dec 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Authorized official

Name
Deborah S. Mendelson, MD
Title
Managing Member
Phone
(602) 944-4626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

9327 N 3Rd St
Ste 206
Phoenix, AZ 85020-2470

Mailing address

111 E Dunlap Ave
#1-471
Phoenix, AZ 85020-2807
Phone (602) 944-4626

National Provider Directory

National Provider Directory

Locations

111 E Dunlap Ave
Ste 1471
Phoenix, AZ 85020

111 E Dunlap Ave
#1471
Phoenix, AZ 85020
Phone (602) 944-4626

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1790020295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 N 3RD ST",
            "address_2": "STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202470",
            "telephone_number": "602-944-4626",
            "fax_number": "602-396-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH S. MENDELSON, MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-944-4626",
        "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": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.