AZ DERMATOLOGY, LLC (NPI# 1770818130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770818130 |
| Entity Type | Organization |
| Organization Name | AZ DERMATOLOGY, LLC |
| Practice Address |
1025 W 24th St Suite 5 Yuma AZ 85364-8366 |
| Mailing Address |
1821 N Trekell Rd Suite 5 Casa Grande AZ 85122-1705 |
| Practice Telephone | 5203742462 |
| Practice Fax Number | 5203742467 |
| Mailing Telephone | 5203742462 |
| Mailing Fax Number | 5203742467 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | DR. JAYSHRI GAMOTH (OWNER) |
| Authorized Official Telephone | 5203742462 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 36353 | AZ | Other Service Providers |
| Street Address |
1025 W 24TH ST SUITE 5 |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-8366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696795 | Julie Ann Dance | Advanced Practice Midwife | 1025 W 24th St, Suite 28, Yuma, AZ 85364-8366 | 2005-08-17 |
| 1629475272 | Yuma Hearing Inc. | Hearing Aid Equipment | 1025 W 24th St, Suite 1, Yuma, AZ 85364-8366 | 2014-11-25 |
| 1861899411 | Sara Krueger | Hearing Instrument Specialist | 1025 W 24th St, Suite 1, Yuma, AZ 85364-8366 | 2014-11-25 |
| 1659675262 | Paula Anne Ashurst | Physician Assistant | 1025 W 24th St, Yuma, AZ 85364-8366 | 2010-12-23 |
| 1316192024 | Mohammad M Khan M.d. | Internal Medicine | 1025 W 24th St, Suite #27, Yuma, AZ 85364-8366 | 2008-11-21 |
| 1144476821 | Darrell Leroy Scheetz | General Practice | 1025 W 24th St, Suite 18, Yuma, AZ 85364-8366 | 2008-08-13 |
| 1023273463 | Nader M Haddad | Obstetrics & Gynecology | 1025 W 24th St, Suite 22, Yuma, AZ 85364-8366 | 2008-07-24 |
| 1538337548 | Julie Dance Pllc | Advanced Practice Midwife | 1025 W 24th St, Suite 28, Yuma, AZ 85364-8366 | 2008-02-12 |
| 1568641389 | Advanced Home Healthcare Services of Yuma,l.l.c | Home Health | 1025 W 24th St, Suite 22, Yuma, AZ 85364-8366 | 2007-10-29 |
| 1912191404 | Dorothy L. P. Wong, Md, LLC | Internal Medicine | 1025 W 24th St, Suite 26, Yuma, AZ 85364-8366 | 2007-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174612535 | Ramiro Garcia Md PC | Specialist | 11420 E 37th Pl, Yuma, AZ 85367-5671 | 2006-10-12 |
| 1679665517 | Habteab Betsuamlac Feseha | Specialist | 610 W Catalina Dr, Yuma, AZ 85364-8011 | 2006-09-29 |
| 1477588713 | Louis Mark Miller | Specialist | 2435 S Avenue A Ste C, Yuma, AZ 85364-7176 | 2006-07-12 |
| 1518990902 | Yuma Heart Instititute LLC | Specialist | 2503 S Ave A, Suite #2, Yuma, AZ 85364 | 2006-07-08 |
| 1063440816 | Abdul Sultan Lalani I | Specialist | 2175 S Ave. A., Suite B., Yuma, AZ 85364-8458 | 2006-06-29 |
| 1922076751 | Steven Douglas Kurtz | Specialist | 1919 W 13th Ln, Yuma, AZ 85364-4365 | 2006-03-09 |
| 1154398733 | William L Tontz Sr. | Specialist | 1501 W 24th Street, Yuma, AZ 85364 | 2006-03-02 |
| 1699757211 | Atilio Giangreco | Specialist | 11611 S Foothills Blvd Ste G, Yuma, AZ 85367-5845 | 2005-11-18 |
| 1215918883 | Gregory L. Peare | Specialist | 2281 W 24th St, Suite 2, Yuma, AZ 85364-6197 | 2005-11-09 |
| 1457344681 | George Bashir Deckey | Specialist | 2435 S Avenue A, Suite B, Yuma, AZ 85364-7175 | 2005-08-23 |
| Find all providers in YUMA | ||||
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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.