Arizona Dermatology Specialists, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

29708 Issued in AZ

Legal business name

ARIZONA DERMATOLOGY SPECIALISTS, PLLC

Practice address

14800 W. Mountain View Blvd.
Ste. 160
Surprise, AZ 85374-2700

Phone

(623) 584-3376

Fax

(623) 584-3375

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

James O Barlow, M.D.NPI 1982683405

Title

Owner/Member

Phone

(602) 793-8411

Specialties & licenses 3

Addresses

Other identifiers 2

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.

• James Orson Barlow, M.D.

  • MOHS-Micrographic Surgery Physician
  • Surprise, AZ
  • NPI 1982683405

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Jillian Brynn Goldney, FNP-C, DCNP

  • Nurse Practitioner
  • Surprise, AZ
  • NPI 1144733767
  Medicare reassignment Care Compare group NPD
• Anna Theresa Koester, FNP-BC

  • Nurse Practitioner
  • Surprise, AZ
  • NPI 1306627989
  Medicare reassignment Care Compare group NPD
• Jesse M Olmedo, MD

  • Dermatology Physician
  • Surprise, AZ
  • NPI 1265490429
  Medicare reassignment Care Compare group NPD
• Brigitte Sledge

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1285139063

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Victoria Phan

  • Medical Physician Assistant
  • Surprise, AZ
  • NPI 1306440011
  Medicare reassignment Care Compare group
• Drew Aubrey Reese, D.O.

  • Dermatology Physician
  • Surprise, AZ
  • NPI 1750394227
  Medicare reassignment NPD
• Elizabeth V Vesselovskaya, PA-C

  • Physician Assistant
  • Surprise, AZ
  • NPI 1164961157
  Medicare reassignment
• Mark S Wallen, DPM

  • Podiatrist
  • Santa Monica, CA
  • NPI 1306811674

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1992061162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9290",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749290",
            "telephone_number": "623-584-3376",
            "fax_number": "623-584-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 W. MOUNTAIN VIEW BLVD.",
            "address_2": "STE. 160",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742700",
            "telephone_number": "623-584-3376",
            "fax_number": "623-584-3375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13555 W McDowell Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952629",
            "country_code": "US",
            "telephone_number": "623-584-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13090 N 94th Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814257",
            "country_code": "US",
            "telephone_number": "623-584-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA DERMATOLOGY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "602-793-8411",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "29708",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "29708",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "721358",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ PLLC REGISTRATION",
            "identifier": "P17495542",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Surprise, AZ
• Providers in Surprise, 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 29, 2026; 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.