ALLIANCE DERMATOLOGY & MOHS CENTER, PC (NPI# 1861813156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861813156 |
| Entity Type | Organization |
| Organization Name | ALLIANCE DERMATOLOGY & MOHS CENTER, PC |
| Practice Address |
4045 E Bell Rd Suite 125 Phoenix AZ 85032-2238 |
| Practice Telephone | 6029710268 |
| Practice Fax Number | 6029711156 |
| Mailing Telephone | 6029710268 |
| Mailing Fax Number | 6029711156 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2015-06-24 |
| Authorized Official Name | SADRA JAZAYERI (OWNER) |
| Authorized Official Telephone | 6029710268 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891702957 | Alliance Dermatology & Mohs Center, PC | Dermatology | 4045 E Bell Rd, 147, Phoenix, AZ 85032 | 2006-08-02 |
| Street Address |
4045 E BELL RD SUITE 125 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881698256 | Casey L Huston | Surgery | 4045 E Bell Rd, Suite 127, Phoenix, AZ 85032-2236 | 2005-06-13 |
| 1659800951 | Cale Nichols | Physical Therapist | 4045 E Bell Rd, Phoenix, AZ 85032-2236 | 2017-06-08 |
| 1922549039 | Kim Fischer | Orthotist | 4045 E Bell Rd, # 119, Phoenix, AZ 85032-2236 | 2017-03-09 |
| 1598216467 | Vitalab Pharmacy Inc | Pharmacy | 4045 E Bell Rd, Suite 163, Phoenix, AZ 85032-2236 | 2016-10-17 |
| 1689035479 | Meridian Therapeutics Clinic LLC | Clinic/Center | 4045 E Bell Rd, Ste 111, Phoenix, AZ 85032-2236 | 2016-03-08 |
| 1952775256 | Integrated Pain Management Solutions Pllc | Anesthesiology | 4045 E Bell Rd, Suite 147, Phoenix, AZ 85032-2236 | 2015-11-24 |
| 1861868978 | Richard Shively | Physical Therapist | 4045 E Bell Rd, Phoenix, AZ 85032-2236 | 2015-08-12 |
| 1407247489 | Lb Dental Inc. | Dentist | 4045 E Bell Rd, Suite 115, Phoenix, AZ 85032-2236 | 2015-02-11 |
| 1194042291 | Whitman Physical Therapy Pllc | Physical Therapist | 4045 E Bell Rd, Suite 105, Phoenix, AZ 85032-2236 | 2010-04-28 |
| 1518295013 | Robert J Fauer M.d. P.c | Clinic/Center | 4045 E Bell Rd, Suite 105, Phoenix, AZ 85032-2236 | 2009-11-23 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 85032 | ||||
| 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. |
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|---|---|---|---|---|
| 1902462179 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St Ste 200, Phoenix, AZ 85034-2019 | 2019-05-14 |
| 1922517655 | Southwest Behavioral Health Services, Inc. | Specialist | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2017-09-26 |
| 1962936773 | Zoe Reed | Specialist | 20950 N 29th Ave, Suite 100, Phoenix, AZ 85027-3110 | 2017-04-18 |
| 1295289163 | Affiliated Therapy Services | Specialist | 4650 E Cotton Center Blvd Ste 155, Phoenix, AZ 85040-4803 | 2016-08-09 |
| 1285084400 | Jacqueline Kincer | Specialist | 4500 N 32nd St Ste 201d, Phoenix, AZ 85018-3397 | 2016-06-18 |
| 1750747218 | Hilary Caine | Specialist | 6228 W Molly Dr, Phoenix, AZ 85083-6525 | 2016-01-13 |
| 1659757268 | Armendariz Medical Associates LLC | Specialist | 3509 E Shea Blvd Ste 103, Phoenix, AZ 85028-3337 | 2015-08-05 |
| 1669877247 | Shawna Christofis | Specialist | 3940 E Goldfinch Gate Ln, Phoenix, AZ 85044-4513 | 2014-10-25 |
| 1396151890 | Michelle Rene' Reinhardt | Specialist | 11010 S Tomah St, Phoenix, AZ 85044-1914 | 2014-07-03 |
| 1518371863 | Stacy Hall Brink | Specialist | 4713 E Michigan Ave, Phoenix, AZ 85032-9517 | 2014-06-15 |
| Find all providers in PHOENIX | ||||
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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.