Alliance Dermatology & Mohs Center, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ALLIANCE DERMATOLOGY & MOHS CENTER, PC

Practice address

4045 E Bell Rd
147
Phoenix, AZ 85032

Phone

(602) 971-0268

Fax

(602) 971-1556

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Richard G Bottiglione, MDNPI 1083621148

Title

Owner

Phone

(602) 971-0268

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Richard George Bottiglione, MD

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1083621148
  Authorized official Same address or phone
• Tamara Handerson, MD

  • Anatomic Pathology Physician
  • Greenwich, CT
  • NPI 1184614331
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1891702957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "147",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-971-0268",
            "fax_number": "602-971-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "147",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-971-0268",
            "fax_number": "602-971-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE DERMATOLOGY & MOHS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "BOTTIGLIONE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-971-0268",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z74888",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alliance Health and Rehabilitation, P.C.
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• Alliance Home Health, LLC (Ace Home Health)
• Alliance Medical and Chiropractic, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.