Organization Active NPI

Skin Cancer Treatment Center, P.C.

  • Ambulatory Surgical Clinic/Center
  • Peoria, AZ
National Provider Identifier
1801876941
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSC3048 Issued in AZ
Legal business name
SKIN CANCER TREATMENT CENTER, P.C.
Practice address
13128 N 94TH Dr
Suite #101a
Peoria, AZ 85381-4254
Phone
(623) 875-2600
Fax
(623) 875-2621
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Patricia Ann Carroll-Chen, M.D.
Title
President
Phone
(623) 875-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSC3048 AZ Primary

Addresses

Primary practice location

13128 N 94TH Dr
Suite #101a
Peoria, AZ 85381-4254

Mailing address

13128 N 94TH Dr
Suite #101a
Peoria, AZ 85381-4254
Phone (623) 875-2600

National Provider Directory

National Provider Directory

Locations

13128 N 94th Dr
Ste 101A
Peoria, AZ 85381
Phone (623) 875-2600

13125 N 94TH Dr Ste 101
Peoria, AZ 85381
Phone (623) 875-2600

13125 N 94TH Dr Ste 101
Peoria, AZ 85381
Phone (623) 875-2600

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1801876941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13128 N 94TH DR",
            "address_2": "SUITE #101A",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814254",
            "telephone_number": "623-875-2600",
            "fax_number": "623-875-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 N 94TH DR",
            "address_2": "SUITE #101A",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814254",
            "telephone_number": "623-875-2600",
            "fax_number": "623-875-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER TREATMENT CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "CARROLL-CHEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-875-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC3048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.