- Practice location
- 4545 E Chandler Blvd, Suite 305, Phoenix, AZ 85048-7643
- Phone
- 480-785-7546
- Fax
- 480-940-1760
- Last updated
- September 27, 2007
Ahwatukee Dermatology LLC is a healthcare organization based in Phoenix, AZ. The NPI number for Ahwatukee Dermatology LLC is 1962699512 and holds license No. 2590 (AZ). The current practice location address is 4545 E Chandler Blvd, Suite 305, Phoenix, AZ 85048-7643 and the office can be reached by phone at 480-785-7546 and by fax at 480-940-1760. The NPI was assigned on September 27, 2007 and the record was last updated in NPPES on September 27, 2007.
●Provider Profile Details
- NPI Number
- 1962699512
- Provider Name
- Ahwatukee Dermatology LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- Sarah E Neumann, MMS, PA-C · Manager · 480-785-7546
- Enumeration Date
- September 27, 2007
- Last Update Date
- September 27, 2007
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 4545 E Chandler Blvd
Suite 305
Phoenix, AZ 85048-7643 - City
- Phoenix
- State
- Arizona
- ZIP
- 85048-7643
- Country
- US
- Phone Number
- 480-785-7546
- Fax Number
- 480-940-1760
✉Business Mailing Address
- Address
- 4545 E Chandler Blvd
Suite 305
Phoenix, AZ 85048-7643 - City
- Phoenix
- State
- AZ
- ZIP
- 85048-7643
- Phone Number
- 480-785-7546
- Fax Number
- 480-940-1760
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant, Medical 193400000X - Multiple Single Specialty Group | 363AM0700X | No | 2590 | AZ |
| Nurse Practitioner, Adult Health 193400000X - Multiple Single Specialty Group | 363LA2200X | No | 151 | AZ |
| Dermatology 193400000X - Multiple Single Specialty Group | 207N00000X | Yes | 15963 | AZ |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?Frequently Asked Questions
What is the NPI number of Ahwatukee Dermatology LLC?
The NPI number of Ahwatukee Dermatology LLC is 1962699512. It was assigned on September 27, 2007 and is currently active in the NPPES registry.
What is the specialty of Ahwatukee Dermatology LLC?
Ahwatukee Dermatology LLC is registered under the primary taxonomy Dermatology (code 207N00000X) and holds license No. 2590 (AZ).
Where does Ahwatukee Dermatology LLC practice?
The practice location is 4545 E Chandler Blvd, Suite 305, Phoenix, AZ 85048-7643. The office can be reached at 480-785-7546 (phone) or 480-940-1760 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962699512 directly on the NPPES registry website at npiregistry.cms.hhs.gov.