Goodman Dermatology and Mohs Surgery PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

GOODMAN DERMATOLOGY AND MOHS SURGERY PLLC

Practice address

13830 W Camino del Sol Ste 240
Sun City West, AZ 85375-4746

Phone

(714) 955-1214

NPI assigned

Aug 15, 2023

Last updated

Feb 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Bogdan

Title

Billing Specialist

Phone

(484) 359-8909

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Mortensen Goodman, M.D

  • Dermatology Physician
  • Sun City West, AZ
  • NPI 1679556633
  Medicare reassignment Care Compare group NPD
• Seth M Goodman, DO

  • MOHS-Micrographic Surgery Physician
  • Sun City, AZ
  • NPI 1750726253

  Dermatology

  Medicare reassignment Care Compare group NPD
• Roshan Kottoor

  • Physician Assistant
  • Glendale, AZ
  • NPI 1598243701
  Medicare reassignment Care Compare group
• Karla Melissa Munoz Balderas, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1467962076
  NPD

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1841073723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 W CAMINO DEL SOL STE 240",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754746",
            "telephone_number": "714-955-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 W CAMINO DEL SOL STE 240",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754746",
            "telephone_number": "714-955-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMAN DERMATOLOGY AND MOHS SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "BOGDAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "484-359-8909"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas W Goebig, RPH, PHARMD
• Riley Goins
• Aaron Matthew Goldfaden, M.D.
• Good Night Sleep Services, LLC
• Jane Helen Catherine Goodfellow
• Matthew Mortensen Goodman, M.D
• Halroy Gordon
• Piper L Goss, RBT
• Barbara J Gould, PT
• Grafted Care LLC (Senior Helpers of Sun City West-Surprise)

• Dermatology Physician in Sun City West, AZ
• Providers in Sun City West, 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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.