Advanced Dermatology of Arizona, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ADVANCED DERMATOLOGY OF ARIZONA, PC

Practice address

8817 E Bell Rd Ste 101
Scottsdale, AZ 85260-1589

Phone

(602) 264-9044

NPI assigned

Jul 30, 2015

Last updated

Jul 30, 2015By 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

Linda Crandall

Title

Credentialing Coordinator

Phone

(970) 484-6303

Specialties & licenses 1

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 27

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.

• Yi Gao, MD

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1457857336
  Medicare reassignment Care Compare group NPD
• Bill Hale Halmi, MD

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1245226042
  Medicare reassignment Care Compare group NPD
• Cassandra Lynn Henderson, PA-C

  • Dermatology Physician
  • Gilbert, AZ
  • NPI 1811550759

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Yulia Khan, MD

  • MOHS-Micrographic Surgery Physician
  • Phoenix, AZ
  • NPI 1386808368

  Dermatology

  Medicare reassignment Care Compare group NPD
• Matthew Snyder Laffer, D.O.

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1851736763

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Jason W Arnett, P.A.

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1336132034
  Medicare reassignment Care Compare group
• Michelle Davis, PA

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1487103719
  Medicare reassignment Care Compare group
• Andrew G Hicks, PA

  • Medical Physician Assistant
  • Peoria, AZ
  • NPI 1154757995
  Medicare reassignment Care Compare group
• Gabriela C Isenia, PA

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1730736604
  Medicare reassignment Care Compare group
• Sheridan Haley Jansen, PA

  • Physician Assistant
  • Chandler, AZ
  • NPI 1104531474
  Medicare reassignment Care Compare group
• Kendall D Jenson, PA- C

  • Medical Physician Assistant
  • Scottsdale, AZ
  • NPI 1881706885
  Medicare reassignment Care Compare group
• Tasha S Mack, PA-C

  • Medical Physician Assistant
  • Mesa, AZ
  • NPI 1184051336
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1922484088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "407-875-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8817 E BELL RD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601589",
            "telephone_number": "602-264-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DERMATOLOGY OF ARIZONA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "970-484-6303"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.