Ahwatukee Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

15963 Issued in AZ

Legal business name

AHWATUKEE DERMATOLOGY LLC

Practice address

4545 E Chandler Blvd
Suite 305
Phoenix, AZ 85048-7643

Phone

(480) 785-7546

Fax

(480) 940-1760

NPI assigned

Sep 27, 2007

Last updated

Sep 27, 2007By 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

Sarah E Neumann, MMS, PA-CNPI 1487781092

Title

Manager

Phone

(480) 785-7546

Specialties & licenses 3

Addresses

Practitioners 1

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.

• Sarah E Neumann, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1487781092
  Authorized official Same address or phone

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1962699512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E CHANDLER BLVD",
            "address_2": "SUITE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487643",
            "telephone_number": "480-785-7546",
            "fax_number": "480-940-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E CHANDLER BLVD",
            "address_2": "SUITE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487643",
            "telephone_number": "480-785-7546",
            "fax_number": "480-940-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHWATUKEE DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-785-7546",
        "authorized_official_credential": "MMS, PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2590",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "151",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "15963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Chinyere Ahukanna
• Ligia Ahumada
• Ahwatukee Ambulatory Surgical Center, LLC
• Ahwatukee Comfort Care LLC
• Ahwatukee Dentistry, PLLC
• Ahwatukee Endodontic Partners LLC (Acacia Endodontics at Ahwatukee LLC)
• Ahwatukee Family Dental
• Ahwatukee Family Physicians, P.C.
• Ahwatukee Foothills Plastic Surgery PC
• Ahwatukee Foothills Plastic Surgery PC

• 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 Sep 27, 2007; 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.