EAST VALLEY DERMATOLOGY RX, LLC (NPI# 1013312925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013312925 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY DERMATOLOGY RX, LLC |
| Practice Address |
1100 S Dobson Rd #223 Chandler AZ 85286-6157 |
| Practice Telephone | 4808218888 |
| Practice Fax Number | 4808210888 |
| Mailing Telephone | 4808218888 |
| Mailing Fax Number | 4808210888 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | JENNIFER ANN DAVIS (OFFICE MANAGER) |
| Authorized Official Telephone | 4808218888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 26816 | AZ | Allopathic & Osteopathic Physicians |
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
1100 S DOBSON RD #223 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85286-6157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396725958 | Larry J. Sanders | Orthopaedic Surgery | 1100 S Dobson Rd, Suite 203, Chandler, AZ 85286-6157 | 2006-01-19 |
| 1952829582 | Tierney Rose Shea | Physician Assistant | 1100 S Dobson Rd, Chandler, AZ 85224 | 2017-09-04 |
| 1447775986 | Alyssa Smith | Nurse Practitioner | 1100 S Dobson Rd, Chandler, AZ 85286-6157 | 2017-08-06 |
| 1699113696 | Maria R Brown | Surgery | 1100 S Dobson Rd, Chandler, AZ 85286-6157 | 2013-06-12 |
| 1053655043 | Michelle Yoo | Physician Assistant | 1100 S Dobson Rd, #100, Chandler, AZ 85286-6157 | 2012-11-15 |
| 1386871523 | Ryan Falsey | Dermatology | 1100 S Dobson Rd, #223, Chandler, AZ 85286-6157 | 2009-06-15 |
| 1932351624 | Yuliya S Schoenling | Physician Assistant | 1100 S Dobson Rd, Suite 223, Chandler, AZ 85286-6157 | 2008-10-14 |
| 1114178282 | Wendy Ann Ridenour | Physician Assistant | 1100 S Dobson Rd, Suite 223, Chandler, AZ 85286-6157 | 2008-10-07 |
| 1972752814 | Falcon Family Eye Care, P.C. | Optometrist | 1100 S Dobson Rd, Chandler, AZ 85286-6157 | 2008-09-16 |
| 1841446085 | Presidio Primary Care Pllc | Clinic/Center | 1100 S Dobson Rd, Chandler, AZ 85286-6157 | 2008-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780202804 | Cep America- Arizona, PC | Emergency Medicine | 1405 S. Alma School Rd., Chandler, AZ 85286 | 2020-07-07 |
| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1033776455 | Premier Orthodontic Specialists Pllc | Dentist | 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 | 2019-05-21 |
| 1871056978 | Erica Satoko Sugiyama-hill | Counselor | 3042 West Queen Creek Rd, Chandler, AZ 85286 | 2019-04-08 |
| 1235693169 | Shumway Dental Care Pllc | Dentist | 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 | 2019-01-24 |
| 1568968287 | Reita Jenae Juarez | Counselor | 3042 W Queen Creek Road, Chandler, AZ 85286 | 2018-04-02 |
| 1205348984 | Seriously Speaking, LLC. | Speech-Language Pathologist | 650 E. Woodsman Place, Chandler, AZ 85286 | 2017-11-02 |
| 1689194920 | Kyle D. Byrne | Physician Assistant | 1100 S Dobson Rd Ste 203, Chandler, AZ 85286 | 2017-06-27 |
| 1053844183 | Omar Faisal Saleem | Internal Medicine | 1405 S Alma School Road, Attn Amanda Gump/ Hospitalists, Chandler, AZ 85286 | 2017-04-05 |
| 1629427539 | Bryanda Silva | Specialist/Technologist | 2350 E Germann Rd #33, Chandler, AZ 85286 | 2016-06-10 |
| Find all providers in zip 85286 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063892297 | Ironwood Physicians, PC | Non-Pharmacy Dispensing Site | 685 S Dobson Rd, Chandler, AZ 85224-5665 | 2015-06-03 |
| 1427495944 | Choose Health Now Consulting, LLC | Non-Pharmacy Dispensing Site | 3100 N Alma School Rd, Chandler, AZ 85224-1468 | 2013-05-23 |
| 1487802765 | Intel Corporation | Non-Pharmacy Dispensing Site | 4500 S Dobson Rd, Mail Stop: Oc2-112, Chandler, AZ 85248-4907 | 2008-08-29 |
| 1851549133 | Intel Corporation | Non-Pharmacy Dispensing Site | 5000 W Chandler Blvd, Mail Stop: Ch3-17, Chandler, AZ 85226-3601 | 2008-08-29 |
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|---|---|---|---|---|
| 1609375740 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 89 Civic Center Ln, Lake Havasu City, AZ 86403-0810 | 2018-02-05 |
| 1518318328 | John C Lincoln, LLC | Non-Pharmacy Dispensing Site | 6220 W Bell Rd, Suite 100, Glendale, AZ 85308-3718 | 2016-06-23 |
| 1992178982 | Caremore Health Plan of Arizona Inc | Non-Pharmacy Dispensing Site | 315 W Irvington Rd, Ste.101, Tucson, AZ 85714-3151 | 2015-11-12 |
| 1558747725 | Arizona Oncology Associates, PC | Non-Pharmacy Dispensing Site | 3188 N Windsong Dr # Sr, Ste. # A, Prescott Valley, AZ 86314-1220 | 2015-08-10 |
| 1578976379 | Arizona Oncology Associates PC | Non-Pharmacy Dispensing Site | 1315 S La Canada Dr, Green Valley, AZ 85622-1915 | 2014-06-09 |
| 1023302643 | Tri-state Medical Specialists LLC | Non-Pharmacy Dispensing Site | 1510 Wagon Wheel Lane, Suite 110, Fort Mohave, AZ 86426-6698 | 2011-05-31 |
| 1396066395 | Wound Care Usa, LLC | Non-Pharmacy Dispensing Site | 3959 E Speedway Blvd, Suite 316, Tucson, AZ 85712-4553 | 2010-06-14 |
| 1417112541 | Gold Canyon Internal Medicine | Non-Pharmacy Dispensing Site | 6724 S Kings Ranch Rd Ste 102, Gold Canyon, AZ 85118-2963 | 2008-07-29 |
| 1740442573 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 10210 N. 92nd St, Suite 301, Scottsdale, AZ 85258 | 2008-07-02 |
| 1558523381 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 18700 N. 64th Dr, Suite 101, Glendale, AZ 85308 | 2008-07-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.