Derosa Medical, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4223 Issued in AZ

Legal business name

DEROSA MEDICAL, P.C.

Practice address

9377 E Bell Rd
Suite 361
Scottsdale, AZ 85260-1502

Phone

(480) 619-4097

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Angela Derosa, DO

Title

President/Owner

Phone

(480) 619-4097

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1881917599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD",
            "address_2": "SUITE 361",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD",
            "address_2": "SUITE 361",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601502",
            "telephone_number": "480-619-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEROSA MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "480-619-4097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Dereszkiewicz, LAT, ATC
• Dermatique, LTD
• Dermatology & Skin Surgery Specialists of Arizona, LLC
• Dermcall LLC
• Cheryl Marie Deroin, N.M.D.
• Angela Marie Derosa, D.O.
• Michelle Sharon Derosa, OTR/L
• Ivette Derose, PHYSICAL THERAPIST
• Joseph Augustine Derose, D.P.M.
• Nicole M Derosier, FNP-BC

• Internal Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.