RICHARD LEE AVERITTE JR PLLC


Address: 19646 N 27th Ave, Ste 305, Phoenix, AZ 85027-4017
Phone: 4805560446

RICHARD LEE AVERITTE JR PLLC (NPI# 1609291848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609291848
Entity Type Organization
Organization Name RICHARD LEE AVERITTE JR PLLC
Other Organization Name AFFILIATED DERMATOLOGY
Practice Address 19646 N 27th Ave
Ste 305
Phoenix
AZ 85027-4017
Mailing Address 20401 N 73rd St
Ste 230
Scottsdale
AZ 85255-4107
Practice Telephone 4805560446
Mailing Telephone 4805560446
Enumeration Date 2014-02-25
Last Update Date 2014-02-25
Authorized Official Name MARLIE AVERITTE (CFO)
Authorized Official Telephone 4805560446
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
40537 AZ Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
40537 AZ Allopathic & Osteopathic Physicians
N 207NI0002X Dermatology
Specialization: Clinical & Laboratory Dermatological Immunology
40537 AZ Allopathic & Osteopathic Physicians
N 207NP0225X Dermatology
Specialization: Pediatric Dermatology
40537 AZ Allopathic & Osteopathic Physicians
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
40537 AZ Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology 40537 AZ Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Affiliated Dermatology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407804115 Richard Lee Averitte Jr Pllc Dermatology 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4153 2006-05-05

Office Location

Street Address 19646 N 27TH AVE
STE 305
City PHOENIX
State AZ
Zip Code 85027-4017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215927892 Paragi R Shah Obstetrics & Gynecology 19646 N 27th Ave, Ste 403, Phoenix, AZ 85027-4017 2005-10-25
1417345919 Arizona Oncology Associates PC Physician Assistant 19646 N 27th Ave, Ste. # 406, Phoenix, AZ 85027-4028 2015-01-06
1326471640 Lisa Kay Dela Cruz Nurse Practitioner 19646 N 27th Ave, Suite 301, Phoenix, AZ 85027-4017 2013-08-11
1932471323 John C. Lincoln Genetics Cancer Risk Medical Genetics 19646 N 27th Ave, Ste. 201, Phoenix, AZ 85027-4017 2012-02-01
1033498399 Breast Imaging Specialists of Arizona, LLC Radiology 19646 N 27th Ave, Ste. 205, Phoenix, AZ 85027-4017 2011-08-04
1184866386 John C Lincoln LLC Clinic/Center 19646 N 27th Ave, Suite 205, Phoenix, AZ 85027 2009-04-02
1942462767 Cardiovascular Consultants, Ltd Non-Pharmacy Dispensing Site 19646 N 27th Ave, Suite 408, Phoenix, AZ 85027 2008-07-02
1629268503 Yamini Subbiah Internal Medicine 19646 N 27th Ave, Suite 301 Dr. Subbiah-gastroenterology (care for Women), Phoenix, AZ 85027-4017 2007-07-27
1689701682 Loretta Jo Nevarez-kells Nurse Practitioner 19646 N 27th Ave, Ste. # 403, Phoenix, AZ 85027-4017 2007-02-27
1689687410 Yebabe Melak Mengesha Dermatology 19646 N 27th Ave, Suite 305, Phoenix, AZ 85027-4017 2006-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891306312 Ashley Nicole Felipe Registered Nurse 25700 N 21st Ave, Phoenix, AZ 85027 2020-08-10
1942784376 Crystal Rodriguez Dentist 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 2018-09-21
1790284776 Lydia Kuuipo Chong Nurse Practitioner 20414 N 27th Ave #300, Phoenix, AZ 85027 2018-02-06
1457867004 Kristi Marie Mathews Nurse Practitioner 19829 N 29th Avenue, Phoenix, AZ 85027 2017-12-19
1710348362 The Empower House, LLC Community Based Residential Treatment Facility, Mental Illness 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 2016-03-10
1972979656 Dr Daniel H Yohannes D.d.s., PC Dentist 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 2015-08-17
1013346857 Dentistry At 35th Avenu Dentist 18635 N 35th Avenue, Phoenix, AZ 85027 2013-11-02
1437592102 Ammar Alobaidy Psychiatry & Neurology 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 2013-04-12
1588900021 Jill Elizabeth Maroscia Social Worker 19636 N 27th Ave #106, Phoenix, AZ 85027 2013-01-02
1124394515 Sfjg Holdings LLC Dentist 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 2012-03-29
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902427735 Derma Healthcare Solutions Pllc Dermatology 4716 E Thunderbird Rd, Phoenix, AZ 85032-5541 2020-05-04
1114485646 Saguaro Dermatology Associates LLC Dermatology 3400 E Mcdowell Rd Fl 2, Phoenix, AZ 85008-3884 2019-03-04
1396122727 Thomas Lee Dermatology 2525 W Carefree Hwy Ste 144, Phoenix, AZ 85085-6096 2015-05-06
1790174167 Kelly Christine Collins Dermatology 42211 N 41st Dr. #a109, Phoenix, AZ 85086 2015-01-22
1215374186 Ramin Fathi Dermatology 4550 E Bell Rd Bldg 5, Phoenix, AZ 85032-9390 2013-05-31
1699087809 Morgan James Mackey Dermatology 9327 N 3rd St Ste 206, Phoenix, AZ 85020-2473 2010-07-06
1609900299 Lindsay Skye Ackerman Dermatology 1331 N 7th St Ste 250, Phoenix, AZ 85006-2722 2007-03-15
1538238373 Susan Il Iorio Dermatology 4400 N. 32nd Street, Ste250, Phoenix, AZ 85018 2006-11-07
1598869687 Mark Richard Rosenberg Dermatology 20950n Tatum Blvd 350, Phoenix, AZ 85050-4256 2006-09-11
1538272596 Peter J. Casper Dermatology 2928 N 18th Pl, Peter J. Casper, M.d., Phoenix, AZ 85016-7705 2006-08-16
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Competitor

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City PHOENIX
Zip Code 85027

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Dataset Information

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.

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