Jonathan Lavian, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

66845 Issued in AZ

Practice address

2127 E Baseline Rd Ste 104
Tempe, AZ 85283-1537

Phone

(804) 556-0446

Fax

(480) 556-0447

NPI assigned

Mar 26, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jlavian@affderm.emadirect.md
• FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona Advanced Surgery LLC

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1346880838
  Medicare reassignment Care Compare group NPD
• Desert Oasis Dermatology PLLC

  • Dermatology Physician
  • Maricopa, AZ
  • NPI 1780489526
  Medicare reassignment NPD Authorized official
• Richard Lee Averitte Jr PLLC

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1407804115
  NPD
• Richard Lee Averitte Jr PLLC

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1609291848
  NPD (past)
• Richard Lee Averitte Jr., PLLC

  • Non-Pharmacy Dispensing Site
  • Surprise, AZ
  • NPI 1598112831
  NPD (past)
• Richard Lee Averitte Jr., PLLC

  • Non-Pharmacy Dispensing Site
  • Anthem, AZ
  • NPI 1619428851
  NPD (past)
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745107200000",
    "number": "1801327309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13835 N TATUM BLVD STE 9-268",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325590",
            "telephone_number": "480-418-3314",
            "fax_number": "480-923-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 E BASELINE RD STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831537",
            "telephone_number": "804-556-0446",
            "fax_number": "480-556-0447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21300 N John Wayne Pkwy Ste 108",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851398964",
            "country_code": "US",
            "telephone_number": "480-418-3314",
            "fax_number": "480-923-6586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVIAN",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "66845",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "66845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorenz Laurel, PHARMD
• Tara Shenai Laurie, M. ED
• Cole Lavallee
• Lavender & Latch, LLC
• Lavender Rose Behavioral Health PLLC
• Kristin A Lavoie, RD
• Jaime Lawless, PHARMD
• Lily Lawless
• Lawrence Anesthesia LLC
• Lawrence M. Irene, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.