Donsky Bogle Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DONSKY BOGLE DERMATOLOGY LLC

Doing business as

Grand Canyon Dermatology PLLC

Practice address

1150 N Country Club Dr
Suite 6
Mesa, AZ 85201-2537

Phone

(480) 985-1093

NPI assigned

Dec 9, 2008

Last updated

Sep 22, 2011By 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

Howard J Donsky, MDNPI 1386602324

Title

President

Phone

(480) 985-1093

Specialties & licenses 1

Addresses

Other names 1

• GRAND CANYON DERMATOLOGY PLLC Doing business as

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 9

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.

• Howard Joshua Donsky, M.D.

  • Specialist
  • Rochester, NY
  • NPI 1386602324

  AZ, Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Matthew Mortensen Goodman, M.D

  • Dermatology Physician
  • Sun City West, AZ
  • NPI 1679556633
  Medicare reassignment Care Compare group NPD
• Debi Belinda Layton, MD

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1871618132
  Medicare reassignment Care Compare group NPD
• Neil P. Superfon, D.O.

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1588610422
  Medicare reassignment Care Compare group NPD
• Mitchell Kirk Bogle, P.A.

  • Medical Physician Assistant
  • Show Low, AZ
  • NPI 1063465318
  Medicare reassignment Care Compare group
• Alicia K Laduke, PAC

  • Physician Assistant
  • Snowflake, AZ
  • NPI 1619924487
  Medicare reassignment Care Compare group
• Brit Sumner Hatch, PA-C

  • Physician Assistant
  • Tyler, TX
  • NPI 1073934568

  AZ

  Medicare reassignment Care Compare group
• Clara Michelle Goodman

  • Medical Physician Assistant
  • Gilbert, AZ
  • NPI 1003589383
  Medicare reassignment
• Sapna Amin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1891930582
  NPD (past)

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1982849691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N COUNTRY CLUB DR",
            "address_2": "SUITE 6",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012537",
            "telephone_number": "480-985-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N COUNTRY CLUB DR",
            "address_2": "SUITE 6",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012537",
            "telephone_number": "480-985-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONSKY BOGLE DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "DONSKY",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-985-1093",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND CANYON DERMATOLOGY PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Clark Donley
• Jeffrey Alan Donnelly, RPH
• Deborah C Donofrio, RN
• Grady Donohoe, DC
• Brittani Nicole Donovan, RN,BSN
• Ronda Jo Doolen
• Ailis Clare Dooner, MD
• Elizabeth Persis Dormady, M.A.CCC-SLP
• Megan Bea Dormady
• Samantha Dorman, PA

• Dermatology Physician in Mesa, AZ
• Providers in Mesa, 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 22, 2011; 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.