Active NPI
Skin Cancer Treatment Center, P.C.
- Ambulatory Surgical Clinic/Center
- Peoria, AZ
National Provider Identifier
1801876941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- OSC3048
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Dermatology Physician
- Sun City, AZ
- NPI 1124008255
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.