ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD (NPI# 1770519019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770519019 |
Entity Type | Organization |
Organization Name | ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD |
Practice Address |
4232 E Cactus Rd Suite 100 Phoenix AZ 85032-7602 |
Mailing Address |
2224 W Northern Ave D 300 Phoenix AZ 85021-4928 |
Practice Telephone | 6029963050 |
Practice Fax Number | 6024940481 |
Mailing Telephone | 6022771449 |
Mailing Fax Number | 6022779984 |
Enumeration Date | 2006-06-25 |
Last Update Date | 2008-01-11 |
Authorized Official Name | DR. NEIL P SUPERFON (OWNER/PHYSICIAN) |
Authorized Official Telephone | 6022771449 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902355720 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 153 N Central Ave, Coolidge, AZ 85128-4405 | 2016-09-22 |
1427506203 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 375 N Joshua Ave, Quartzsite, AZ 85346-9999 | 2016-09-21 |
1659829109 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 6644 E Baseline Rd, Mesa, AZ 85206-4438 | 2016-09-13 |
1740373257 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 1500 S White Mountain Rd Ste 201, Show Low, AZ 85901-7116 | 2006-10-02 |
1790732832 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 2224 W Northern Ave, Suite D-300, Phoenix, AZ 85021-4928 | 2006-05-27 |
1730637281 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 288 N Ironwood Dr, Suite 105, Apache Junction, AZ 85120-3830 | 2016-09-13 |
1760418008 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 4001 E Baseline Rd, Suite B-8, Gilbert, AZ 85234-2726 | 2006-06-25 |
Street Address |
4232 E CACTUS RD SUITE 100 |
City | PHOENIX |
State | AZ |
Zip Code | 85032-7602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770586455 | Teresa N Graff | Physical Therapist | 4232 E Cactus Rd, Ste 110, Phoenix, AZ 85032-7611 | 2005-05-24 |
1295907426 | Vijay K. Jain, Psy.d. Inc | Psychologist | 4232 E Cactus Rd, Suite 207, Phoenix, AZ 85032-7602 | 2008-03-27 |
1154508679 | Barbara A Forester, Ph.d, Pllc | Clinic/Center | 4232 E Cactus Rd, Suite 207, Phoenix, AZ 85032-7602 | 2008-01-28 |
1952528721 | Jeffrey Zacher Md PC | Family Medicine | 4232 E Cactus Rd, Suite 208, Phoenix, AZ 85032-7602 | 2007-04-20 |
1407986672 | Maxillofacial Surgical Consultants Ltd | Dentist | 4232 E Cactus Rd, Suite 204, Phoenix, AZ 85032-7602 | 2007-03-06 |
1407985633 | Michael Apfel | Dentist | 4232 E Cactus Rd, Suite 204, Phoenix, AZ 85032-7602 | 2007-03-05 |
1033269584 | Kristan K Hardison | Physical Therapist | 4232 E Cactus Rd, Suite 110, Phoenix, AZ 85032-7602 | 2007-01-10 |
1659439388 | Lubomir Manov Dds PC | Dentist | 4232 E Cactus Rd, Suite 212, Phoenix, AZ 85032-7602 | 2006-12-05 |
1336239722 | David C Grieb | Dentist | 4232 E Cactus Rd, Suite #107, Phoenix, AZ 85032-7602 | 2006-10-13 |
1720177975 | Laura A Lee | Physical Therapist | 4232 E Cactus Rd, Suite 110, Phoenix, AZ 85032-7602 | 2006-10-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
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Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
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. |
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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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.