RICHARD LEE AVERITTE JR., PLLC (NPI# 1619428851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619428851 |
| Entity Type | Organization |
| Organization Name | RICHARD LEE AVERITTE JR., PLLC |
| Other Organization Name | AFFILIATED DERMATOLOGY |
| Practice Address |
41810 N Venture Dr Suite D136 Anthem AZ 85086-3169 |
| Mailing Address |
20401 N 73rd St Suite 230 Scottsdale AZ 85255-4107 |
| Practice Telephone | 4805560446 |
| Practice Fax Number | 4802236850 |
| Mailing Telephone | 4805560446 |
| Mailing Fax Number | 4802236850 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | MARLIE AVERITTE (CFO) |
| Authorized Official Telephone | 4805560446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 34857 | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Affiliated Dermatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598112831 | Richard Lee Averitte Jr., Pllc | Non-Pharmacy Dispensing Site | 13995 W Statler Blvd, Suite 150, Surprise, AZ 85374-5501 | 2016-05-17 |
| Street Address |
41810 N VENTURE DR SUITE D136 |
| City | ANTHEM |
| State | AZ |
| Zip Code | 85086-3169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184689952 | Kurt Feifer | Chiropractor | 41810 N Venture Dr, 160 Building E, Anthem, AZ 85086-3169 | 2006-04-17 |
| 1639426422 | John C. Lincoln, LLC | Family Medicine | 41810 N Venture Dr, E160, Anthem, AZ 85086-3169 | 2012-08-10 |
| 1720388127 | Glick Family Medicine LLC | Internal Medicine | 41810 N Venture Dr, Suite E-160, Anthem, AZ 85086-3169 | 2010-11-01 |
| 1457661241 | Rachel Marie Nordmeier | Physician Assistant | 41810 N Venture Dr, E-160, Anthem, AZ 85086-3169 | 2010-10-14 |
| 1275648230 | Randy D Horn | Family Medicine | 41810 N Venture Dr, Building C-120, Anthem, AZ 85086-3169 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
| 1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
| 1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
| 1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
| Find all providers in zip 85086 | ||||
| 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 |
|---|---|---|---|---|
| 1831546936 | Honorhealth | Non-Pharmacy Dispensing Site | 3648 W Anthem Way, A-100, Anthem, AZ 85086-7001 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.