ALL DERMATOLOGY, INC. (NPI# 1558525824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558525824 |
Entity Type | Organization |
Organization Name | ALL DERMATOLOGY, INC. |
Other Organization Name | ALLERGY AND DERMATOLOGY SPECIALISTS, INC. |
Practice Address |
4400 N 32nd St Suite 250 Phoenix AZ 85018-3953 |
Mailing Address |
14239 W Bell Rd Suite 101 Surprise AZ 85374-2469 |
Practice Telephone | 6022777686 |
Practice Fax Number | 6022770407 |
Mailing Telephone | 6235447755 |
Mailing Fax Number | 6235448665 |
Enumeration Date | 2008-07-15 |
Last Update Date | 2019-06-27 |
Authorized Official Name | MR. JAMES F PEHOUSHEK (PHYSICIAN) |
Authorized Official Telephone | 6235447755 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians | ||
N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
Allopathic & Osteopathic Physicians | ||
N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians | ||
N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Allergy and Dermatology Specialists, Inc. | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578727947 | All Dermatology, Inc. | Dermatology | 6320a W Union Hills Dr, Suite 210, Glendale, AZ 85308-7177 | 2008-07-15 |
1023199544 | All Dermatology, Inc. | Allergy & Immunology | 14239 W Bell Rd, Suite 101, Surprise, AZ 85374-2469 | 2006-10-18 |
Street Address |
4400 N 32ND ST SUITE 250 |
City | PHOENIX |
State | AZ |
Zip Code | 85018-3953 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548252513 | Bruce A. Bethancourt Jr. | Internal Medicine | 4400 N 32nd St, Suite 140, Phoenix, AZ 85018-3953 | 2005-08-16 |
1881015741 | Biltmore Ear Nose and Throat, PC | Audiologist | 4400 N 32nd St, Ste. 220, Phoenix, AZ 85018-3953 | 2013-12-19 |
1326476813 | Banner Health | Non-Pharmacy Dispensing Site | 4400 N 32nd St, Suite 140, Phoenix, AZ 85018-3953 | 2013-10-22 |
1447599212 | Ralph Woods Price | Dentist | 4400 N 32nd St, Suite 100, Phoenix, AZ 85018-3953 | 2013-02-13 |
1326390964 | Erin Lee Dame | Physician Assistant | 4400 N 32nd St, 110, Phoenix, AZ 85018-3953 | 2012-10-05 |
1164779310 | Laura Hellenthal | Nurse Practitioner | 4400 N 32nd St, Suite 140, Phoenix, AZ 85018-3953 | 2012-08-07 |
1932466331 | Mark R Engelman | Emergency Medicine | 4400 N 32nd St, Ste #150, Phoenix, AZ 85018-3953 | 2012-04-23 |
1053684498 | Sunny View Medical Center, Pllc | Chiropractor | 4400 N 32nd St, Suite 110, Phoenix, AZ 85018-3953 | 2012-02-15 |
1376870097 | Patricia Sullivan | Physician Assistant | 4400 N 32nd St, Ste 220, Phoenix, AZ 85018-3953 | 2009-11-17 |
1669622502 | Emily Knochel | Physician Assistant | 4400 N 32nd St, Suite 110, Phoenix, AZ 85018-3953 | 2008-09-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
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Taxonomy Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639295843 | James Kalivas | Dermatology | 3442 E Pyrenees Pass, Phoenix, AZ 85018-1553 | 2007-03-21 |
1972565109 | Toni Cyd Stockton | Dermatology | 16611 S. 40th Street, Suite 100, Phoenix, AZ 85048 | 2006-04-04 |
1851376305 | Iftikhar Ahmed | Dermatology | 14019 S 8th St, Phoenix, AZ 85048-4459 | 2005-12-07 |
1407167596 | Ahwatukee Skin & Laser LLC | Dermatology | 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619 | 2010-06-23 |
1689687410 | Yebabe Melak Mengesha | Dermatology | 19646 N 27th Ave, Suite 305, Phoenix, AZ 85027-4017 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750800033 | Hw Dermatology Pllc | Dermatology | 10238 E Hampton Ave Ste 404, Mesa, AZ 85209-3319 | 2017-09-18 |
1194028266 | Cynthia Anne O'neil | Dermatology | 516 E Whitehouse Canyon Rd, Green Valley, AZ 85614-0531 | 2010-12-13 |
1669514030 | Richard Charles Miller | Dermatology | 2375 N Wyatt Drive, Suite 108, Tucson, AZ 85712-2152 | 2007-02-13 |
1699743294 | Mary Elizabeth Landau-levine | Dermatology | 14301 N 87th St Ste 107, Scottsdale, AZ 85260 | 2006-03-09 |
1538142625 | Karen E Warschaw | Dermatology | 9060 E Via Linda, Suite 150, Scottsdale, AZ 85258-5417 | 2005-11-22 |
1467457267 | Jill A Cohen | Dermatology | 7485 E Tanque Verde Rd, Tucson, AZ 85715-3477 | 2005-06-17 |
1831606144 | Concierge Healthcare of Az Chaz LLC | Dermatology | 7702 E Doubletree Ranch Rd Ste 300, Scottsdale, AZ 85258-2132 | 2018-01-08 |
1508313602 | Atos Dermatopathology Pllc | Dermatology | 21300 N John Wayne Pkwy, #116, Maricopa, AZ 85139-8979 | 2016-09-07 |
1427428416 | Southwest Skin & Cancer Institute Ltd | Dermatology | 242 Whipple St, Prescott, AZ 86301-1787 | 2015-10-02 |
1730430182 | Wellbeing Institute | Dermatology | 3615 N Prince Village Pl, Suite 121, Tucson, AZ 85719-2054 | 2012-09-25 |
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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.